Anal cancer is a disease in which malignant ( cancer ) cells form in the tissues of the anus ( the part of the anus between the rectum ). If occurring in the skin around the outside of the anus ( the perianal area ) is called tumors not anal cancer.
Symptom of anal cancer include :
Bleeding from the anus or rectum or a lump near the anus.
Other conditions following problems may be cause the same symptoms with anal cancer include :
- Bleeding from the anus or rectum.
- Pain or pressure in the area around the anus.
- Itching or discharge from the anus.
- A lump near the anus.
- A change in bowel habits.
The Risk factors of developing anal cancer include :
- Being over 50 years old.
- Being infected with human papillomavirus ( HPV ).
- Having many sexual partners.
- Having receptive anal intercourse ( anal sex ).
- Frequent anal redness, swelling, and soreness.
- Having anal fistulas ( abnormal openings ).
- Smoking cigarettes.
Tests and procedures are used to detect and diagnose anal cancer :
- Physical exam and history:
An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient's health habits and past illnesses and treatments will also be taken.
- Digital rectal examination (DRE):
An exam of the anus and rectum. The doctor or nurse inserts a lubricated, gloved finger into the lower part of the rectum to feel for lumps or anything else that seems unusual.
- Anoscopy:
An exam of the anus and lower rectum using a short, lighted tube called an anoscope.
- Proctoscopy:
An exam of the rectum using a short, lighted tube called a proctoscope.
- Endo-anal or endorectal ultrasound:
A procedure in which an ultrasound transducer (probe) is inserted into the anus or rectum and used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram.
- Biopsy:
The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. If an abnormal area is seen during the anoscopy, a biopsy may be done at that time.
The prognosis of anal cancer depends on the following :
- The size of the tumor.
- Where the tumor is in the anus.
- Whether the cancer has spread to the lymph nodes.
The treatment options of anal cancer depend on the following :
- The stage of the cancer.
- Where the tumor is in the anus.
- Whether the patient has human immunodeficiency virus ( HIV )
- Whether cancer remains after initial treatment or has recurred.


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