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Flashcards in Anal Neoplasm Deck (4):
1

What are the main types of anal carcinoma?

Anal Carcinoma is most commonly a squamous cell carcinoma; however, you can also get adenocarcinomas, lymphomas and melanomas of the anus.

2

What will you find on a history taking of anal carcinoma?

Symptoms:
Bleeding
Pain
Change in bowel habit -Incontinence
Pruritis
Stricture formation
Mass
Peri-anal Abscess

Risk Factors:
Anal Sex
HPV
HIV

Specific Questions to ask:
History of MSM sex or anal sex

Differentials:
Crohns
Perianal Warts
Haemorrhoids
Rectal Cancer

3

What investigations will you use in anal carcinoma?

Imaging:
Examination under anaesthesia with biopsy
Staging CT

Special Tests:
Test for HIV

4

What is the treatment of anal carcinoma?

Excision - Small well-defined lesions
Chemotherapy and radiotherapy - All other cases