Anal Cancer

Question 1

Mainstay of Anal cancer treatment?

Answer 1

Chemoradiotherapy

Surgery only as salvage therapy if above failed, or in anal melanoma

Question 2

Name 7 risk factors Anal cancer

Answer 2

• hpv! 90 % - 16 and 18
• sexual practices: anal receptive intercourse, multiple partners, men who have sex with men
• previous vulva, vaginal, cervical cancer
• smoking
• gender female
• Chron’s
• immunosuppression

Question 3

Staging Anal cancer?

Answer 3

Tumour
T is
T1: < 2 c m
T2:2-5
T3:>5
T 4: invade local organisms

Node ( MRI of no distant M)
N I: inguinal, mesorectal, internal iliac, external iliac

Metastasis (ct chest abdomen pelvis)
Mi

Question 4

Name 6 types perianal tumours

Answer 4

• Paget disease: intraepithelial adenocarcinoma from sweat glands
. Bowen disease: scc in situ
• scc
• melanoma
• basal Cell carcinoma
• giant condylomata carcinoma (bushke lewenstin carcinoma )

Question 5

Name 6 types cancers in the Anal canal

Answer 5

• squamous cell
•Adenocarcinoma
• melanoma
• sarcoma
• neuroendocrine tumour
• lymphoma

SCC MOST COMMON