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Anal cancer

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346:, and her team found that smoking appears to play a significant role in anal-cancer development that is independent of other behavioral risk factors, such as sexual activity. More than half of the anal-cancer patients studied were current smokers at the time of diagnosis, as compared to a smoking rate of about 23 percent among the controls. "Current smoking is a very important promoter of the disease," said Daling. "There's a fourfold increase in risk if you're a current smoker, regardless of whether you're male or female." They explained that the mechanism behind smoking and anal-cancer development is unknown, but researchers speculate that smoking interferes with a process called 450: 438: 426: 414: 36: 299: 318:: Examination of squamous cell carcinoma tumor tissues from patients in Denmark and Sweden showed a high proportion of anal cancers to be positive for the types of HPV that are also associated with high risk of cervical cancer. In another study done, high-risk types of HPV, notably HPV-16, were detected in 84 percent of anal cancer specimens examined. Based on the study in Denmark and Sweden, Parkin estimated that 90% of anal cancers are attributable to HPV. 648:
sphincter. Some patients have fecal incontinence after combined chemotherapy and radiation. Biopsies to document disease regression after chemotherapy and radiation were commonly advised, but are not as frequent any longer. Current chemotherapy consists of continuous infusion 5-FU over four days with bolus mitomycin given concurrently with radiation. 5-FU and cisplatin are recommended for metastatic anal cancer.
707:(5-FU + Mitomycin) in people with T2N0 and T3N0 categories of disease (5-y overall survival: 82%). The 5-year overall survival rates of patients with T4 with no involved lymph nodes, T3 with involved lymph nodes, and T4 with involved lymph nodes disease after the combined treatment is 57%, 57%, and 42%, respectively. 647:
to reduce the necessity of debilitating surgery. This "combined modality" approach has led to the increased preservation of an intact anal sphincter, and therefore improved quality of life after definitive treatment. Survival and cure rates are excellent, and many patients are left with a functional
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screening have been studied for early detection of anal cancer in high-risk individuals. In 2011, an HIV clinic implemented a program to enhance access to anal cancer screening for HIV-positive men. Nurse practitioners perform anal Papanicolaou screening, and men with abnormal results receive further
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before exposure to HPV prevents infection by some strains of the virus and has been shown to reduce the incidence of potentially precancerous lesions, scientists surmise that HPV vaccination may reduce the incidence of anal cancer. The efficacy of the vaccine against HPV types 16 and 18 in naive
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In 2010, Gardasil was approved in the US to prevent anal cancer and pre-cancerous lesions in males and females aged 9 to 26 years. The vaccine has been used before to help prevent cervical, vulvar, and vaginal cancer, and associated lesions caused by HPV types 6, 11, 16, and 18 in women.
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Median survival rates for people with distant metastases range from 8 to 34 months. Surgical resection with permanent colostomies was the standard treatment until the 1970s, yielding 5-year overall survival of approximately 50%. The best overall survival rates are seen after combined
1427:""Gardasil, Merck's Cervical Cancer Vaccine, Demonstrated Efficacy in Preventing HPV-Related Disease in Males in Phase III Study: Pivotal Study Evaluating Efficacy of Gardasil in Males in Preventing HPV 6, 11, 16 and 18-Related External Genital Lesions"" 286:, and surgery. About 8,300 people are diagnosed a year in the United States, representing about 0.5% of new cancers. Onset is typically after the age of 45. Women are affected more often than men. The number of cases has increased since the 1990s. The 728:
In 2014 about 7,060 new cases of anal cancer were diagnosed in the United States (4,430 in women and 2,630 in men). It is typically found in adults, average age early 60s. In 2019, an estimated 8,300 adults will be diagnosed with anal cancer.
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Cloacogenic. Cloacogenic carcinoma is a rare tumor of the anorectal region originating from a persistent remnant of the cloacal membrane of the embryo. The tumor accounts for 2–3% of anorectal carcinomas and occurs more than twice as often in
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Gunderson et al., Anal Carcinoma: Impact of TN Category of Disease on Survival, Disease Relapse, and Colostomy Failure in US Gastrointestinal Intergroup RTOG 98-11 Phase 3 Trial. Int J Radiation Oncol Biol Phys, 2013, Vol. 87, No. 4, pp.
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Fernández Isart, Myriam; Serra Esteban, Julia; Segura Sampedro, Juan José; Amengual Antich, Isabel; Martínez Ortega, Marco Antonio; Forteza Valades, Ana; Riera Jaume, Melchor; González Argente, Francesc Xavier (2022-03-14).
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Worldwide in 2002 there were an estimated 30,400 new cases of anal cancer. With approximately equal fractions in the developing (15,900) and developed (14,500) countries. An estimated 90% (27,400) were attributable to
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Localised disease (carcinoma-in-situ) and the precursor condition, anal intraepithelial neoplasia (anal dysplasia or AIN) can be ablated with minimally invasive methods such as infrared photocoagulation.
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evaluation with high-resolution anoscopy. The program has helped identify many precancerous growths, allowing them to be safely removed. A similar study was performed in women with a history of
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Anal cancer accounts for less than 1% of all cancer cases and deaths in the United Kingdom. Around 1,200 people were diagnosed with the disease in 2011, and around 310 people died in 2012.
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10 to 20% of patients treated for anal cancer will develop distant metastatic disease following treatment. Metastatic or recurrent anal cancer is difficult to treat, and usually requires
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Symptoms of anal cancer can include pain or pressure in the anus or rectum, a change in bowel habits, a lump near the anus, rectal bleeding, itching or discharge. Bleeding may be severe.
232:. Symptoms may include bleeding from the anus or a lump near the anus. Other symptoms may include pain, itchiness, or discharge from the anus. A change in bowel movements may also occur. 1885:
Suzanne Russo, et al., Executive Summary of the American Radium Society Appropriate Use Criteria for Treatment of Anal Cancer. Int J Radiat Oncol Biol Phys. 2019 Nov 1;105(3):591–605
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Saleem AM, Paulus JK, Shapter AP, Baxter NN, Roberts PL, Ricciardi R (2011). "Risk of anal cancer in a cohort with human papillomavirus-related gynecologic neoplasm".
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Chiao EY, Giordano TP, Palefsky JM, Tyring S, El Serag H (2006). "Screening HIV-infected individuals for anal cancer precursor lesions: a systematic review".
2101: 997: 1606: 660:. Radiation is also employed to palliate specific locations of disease that may be causing symptoms. Chemotherapy commonly used is similar to other 2664: 540:
women ≤26 years old has been shown to be between 91-100% but is lower when individuals are vaccinated irrespective of baseline HPV infection at 76%.
350:, or programmed cell death, which helps rid the body of abnormal cells that could turn cancerous. Another possibility is that smoking suppresses the 1627:
Wohlmuth, Christoph; Ghorab, Zeina; Shier, Michael; Tinmouth, Jill; Salit, Irving E.; Covens, Allan; Zhang, Liying; Vicus, Danielle (2020-10-01).
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American Joint Committee on Cancer, AJCC Cancer Staging Form Supplement, AJCC Cancer Staging Manual, Eighth Edition, Last updated 05 June 2018.
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Goldstone SE, Kawalek AZ, Huyett JW (2005). "Infrared coagulator: a useful tool for treating anal squamous intraepithelial lesions".
1629:"Cytology-based screening for anal intraepithelial neoplasia in women with a history of cervical intraepithelial neoplasia or cancer" 2094: 2582: 1476:
Kamolratanakul S, Pitisuttithum P. Human Papillomavirus Vaccine Efficacy and Effectiveness against Cancer. Vaccines. 2021;9(12).
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Previously, anal cancer was treated with surgery, and in early-stage disease (i.e., localised cancer of the anus without
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Daling, Janet; et al. (1987). "Sexual Practices, Sexually Transmitted Diseases, and the Incidence of Anal Cancer".
3967: 3931: 3669: 1426: 584: 388:), that arises near the squamocolumnar junction. It may be keratinizing (basaloid) or non-keratinizing (cloacogenic). 3941: 3742: 3261: 2787: 2744: 2194: 949: 4397: 3946: 3247: 3176: 2650: 2490: 3785: 1259: 994: 4034: 3691: 2846: 2832: 2592: 2395: 2352: 2323: 592: 3662: 3207: 2303: 1947: 3284: 4103: 3051: 3045: 2956: 2950: 2840: 2621: 2295: 2118: 1203:
Changing Trends in Sexual Behavior May Explain Rising Incidence of Anal Cancer Among American Men and Women
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MB Amin, SB Edge, FL Greene, et al, eds. AJCC Cancer Staging Manual. 8th ed. New York: Springer; 2017.
4371: 4018: 3471: 3078: 2485: 2414: 2110: 2041: 1486: 557: 4067: 3780: 3180: 3092: 2997: 2827: 2800: 2772: 2705: 2437: 2291: 2006: 553: 1508:"Anal intraepithelial neoplasia screening in patients with human immunodeficiency virus infection" 4084: 3713: 2976: 2626: 2375: 2144: 1263: 625: 621: 620:), surgery is often curative. The difficulty with surgery has been the necessity of removing the 381: 338:: Current smokers are several times more likely to develop anal cancer compared with nonsmokers. 287: 248: 81: 2642: 1200: 968: 4412: 4132: 3370: 3348: 3227: 3223: 3219: 3215: 3170: 3108: 3002: 2963: 2766: 2467: 2255: 2217: 1728: 778: 561: 229: 137: 35: 939: 4278: 4157: 4096: 4072: 3987: 3355: 2936: 2806: 2777: 2327: 1925: 1801:"Metastatic squamous cell carcinoma of the anus: time for a shift in the treatment paradigm?" 880: 325: 321: 690:. JD Hainsworth developed a protocol that includes Taxol and Carboplatinum along with 5-FU. 4271: 4237: 4127: 4011: 3855: 3738: 3619: 3451: 3086: 2915: 2472: 717: 385: 315: 264: 256: 236: 126: 105: 89: 1504: 490:"T4: Tumor of any size invading adjacent organ(s), such as the vagina, urethra or bladder" 8: 4079: 4063: 4056: 3962: 3037: 2758: 644: 617: 298: 4003: 354:, which can decrease the body's ability to clear persistent infection or abnormal cells. 4120: 4108: 3869: 3431: 3426: 3140: 2896: 2532: 2514: 2454: 2283: 2279: 2069: 1827: 1800: 1773: 1746: 1709: 1666: 1588: 1545: 1357: 1332: 1313: 1179: 1050: 1015: 629: 188: 60: 1229: 1016:"HPV infection, anal intra-epithelial neoplasia (AIN) and anal cancer: current issues" 4259: 3992: 3790: 3604: 3555: 3536: 3517: 3307: 3303: 3299: 3295: 3212: 3117: 2821: 2699: 2599: 2551: 2542: 2265: 2167: 2136: 2017: 1832: 1778: 1701: 1670: 1658: 1650: 1580: 1549: 1537: 1529: 1362: 1348: 1305: 1171: 1123: 1082: 1055: 1037: 945: 938:
Garden, O. James; Bradbury, Andrew W.; Forsythe, John L. R.; Parks, Rowan W. (2012).
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of anal cancer has increased in recent years, screening and early detection of anal
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In the United States, an estimated 800 to 900 people die of anal cancer annually.
4215: 3876: 3708: 3503: 3408: 3328: 3317: 3188: 3152: 3072: 2858: 2719: 2242: 2225: 2065: 2060: 2011: 1493: 1383: 1301: 1001: 580: 575: 504:"N1: Metastasis in inguinal, mesorectal, internal iliac or external iliac nodes" 275: 160: 1118: 1101: 916: 851:
Nelson, VM; Benson AB, 3rd (January 2017). "Epidemiology of Anal Canal Cancer".
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Since many, if not most, anal cancers derive from HPV infections, and since the
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Stanley, Margaret A; Winder, David M; Sterling, Jane C; Goon, Peter KC (2012).
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greatly increases the likelihood of developing anal cancer, for men and women.
4392: 4386: 4225: 4220: 3901: 3881: 3775: 3733: 3728: 2734: 2729: 2677: 2500: 2182: 2079: 1654: 1533: 1041: 1032: 661: 351: 268: 130: 2000: 1901:"Detailed Guide: Anal Cancer What Are the Key Statistics About Anal Cancer?" 1763: 4343: 4309: 4245: 3896: 3770: 3765: 3595: 3445: 3123: 2984: 2462: 1836: 1782: 1705: 1662: 1584: 1541: 1309: 1175: 1150:"The global health burden of infection-associated cancers in the year 2002" 1086: 1059: 872: 704: 687: 657: 640: 339: 283: 175: 150: 1817: 1127: 924: 632:. For this reason, many patients with anal cancer have required permanent 4348: 4254: 3833: 3635: 3584: 3572: 3567: 3560: 3548: 3522: 3492: 3394: 3233: 3145: 3128: 3063: 2527: 2480: 2423: 1729:"NCCN Clinical Practice Guidelines in Oncology: Anal Carcinoma. V 1.2013" 1366: 675: 560:(AIN) has become a necessity in patients at risk. This screening detects 536: 146: 100: 4367: 4324: 4295: 4290: 4177: 4169: 3913: 3654: 3485: 3269: 3026: 2613: 2074: 1645: 1628: 664: 613: 565: 221: 142: 1983: 1166: 1149: 1100:
Frisch M, Glimelius B, van den Brule AJ, et al. (November 1997).
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Frisch M (August 2002). "On the etiology of anal squamous carcinoma".
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http://www.channelnewsasia.com/stories/health/view/1100843/1/.html
4182: 3825: 3381: 2672: 820:"Cancer of the Anus, Anal Canal, and Anorectum—Cancer Stat Facts" 507:"N1a: Metastasis in inguinal, mesorectal or internal iliac nodes" 400: 335: 247:, smoking, and many sexual partners. Anal cancer is typically a 4266: 2990: 1995: 1747:"Anal cancer treatment: current status and future perspectives" 217: 2046: 4192: 3641: 3400: 3032: 1099: 3755: 2569: 1626: 1562: 937: 683: 1102:"Sexually transmitted infection as a cause of anal cancer" 4205: 4033: 2867: 1330: 1287: 1013: 361: 1745:
Ghosn M, Kourie HR, Abdayem P, Antoun J, Nasr D (2015).
1744: 1609:. Agency for Healthcare Research and Quality. 2013-04-10 898: 896: 568:, and improves the staging of lesions after treatment. 1683: 513:"N1c: Metastasis in external iliac with any N1a nodes" 1853:. The American Society of Health-System Pharmacists. 893: 1973: 1431:
Merck Research and Development News. (www.merck.com)
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Sink JD, Kramer SA, Copeland DD, Seigler HF (1978).
324:: Due to increased risk of exposure to HPV, having 651: 478:"Tis: High grade squamous intraepithelial lesion" 344:Fred Hutchinson's Public Health Sciences Division 4384: 1195: 1193: 1007: 367:A history of cervical, vaginal or vulval cancers 1794: 1792: 850: 510:"N1b: Metastasis in external iliac lymph nodes" 2109: 1378: 1376: 274:Prevention includes avoiding risk factors and 4019: 3670: 2658: 2095: 1457:"HPV vaccine may help to prevent anal cancer" 1254: 1252: 1250: 1190: 498:"NX: Regional lymph nodes cannot be assessed" 302:A squamous cell carcinoma of the anus visible 1789: 995:Anal Cancer Treatment (PDQ) Patient Version. 963: 961: 773: 1512:Revista Espanola de Enfermedades Digestivas 1373: 1143: 1141: 1139: 1137: 885:: CS1 maint: numeric names: authors list ( 771: 769: 767: 765: 763: 761: 759: 757: 755: 753: 465:Pathologic TNM staging of anal carcinomas: 4026: 4012: 3677: 3663: 2922:Progressive multifocal leukoencephalopathy 2665: 2651: 2102: 2088: 1895: 1893: 1891: 1798: 1419: 1247: 853:Surgical Oncology Clinics of North America 814: 812: 810: 808: 806: 804: 802: 800: 34: 3968:Loop electrical excision procedure (LEEP) 2793:Extranodal NK/T-cell lymphoma, nasal type 2358:Hereditary nonpolyposis colorectal cancer 1826: 1816: 1772: 1762: 1644: 1523: 1356: 1201:"Fred Hutchinson Cancer Research Center, 1165: 1147: 1117: 1049: 1031: 958: 944:. Elsevier Health Sciences. p. 272. 941:Principles and Practice of Surgery E-Book 846: 844: 842: 840: 3942:Vaginal intraepithelial neoplasia (VAIN) 3932:Cervical intraepithelial neoplasia (CIN) 3684: 1134: 1072: 750: 297: 2583:Intraductal papillary mucinous neoplasm 1888: 1727:National Comprehensive Cancer Network. 1222: 797: 501:"N0: No regional lymph node metastasis" 16:For cancer of the colon or rectum, see 4385: 3947:Vulvar intraepithelial neoplasia (VIN) 2075:National Cancer Institute: Anal cancer 1454: 1236:from the original on 14 September 2007 1209:Fred Hutchinson Cancer Research Center 902: 837: 4007: 3658: 2646: 2083: 1857:from the original on 20 December 2016 1437:from the original on 15 December 2008 293: 2061:American Cancer Society: Anal Cancer 1388:The Lecturio Medical Concept Library 1004:13 June 2008. Accessed 26 June 2009. 603: 2943:Subacute sclerosing panencephalitis 2632:Desmoplastic small round cell tumor 905:The New England Journal of Medicine 591:and one third of those already had 43:Diagram showing stage 1 anal cancer 13: 4403:Papillomavirus-associated diseases 2333:Polymerase proofreading-associated 585:cervical intraepithelial neoplasia 475:"T0: No evidence of primary tumor" 263:. Diagnosis is suspected based on 14: 4424: 4330:Pelvic inflammatory disease (PID) 3743:HPV-positive oropharyngeal cancer 3262:Severe acute respiratory syndrome 2788:Follicular dendritic cell sarcoma 2195:Hereditary diffuse gastric cancer 1969: 735: 639:Current gold-standard therapy is 360:, which is often associated with 342:Janet Daling, Ph.D., a member of 278:. Standard treatment may include 3248:Middle East respiratory syndrome 2491:Nodular regenerative hyperplasia 1686:Diseases of the Colon and Rectum 1485:US approves anal cancer vaccine 1349:10.1097/00000658-197807000-00009 723: 484:"T2: Tumor > 2 cm but ≤ 5 cm" 472:"TX: Primary tumor not assessed" 448: 436: 424: 412: 4372:Non-gonococcal urethritis (NGU) 4035:Sexually transmitted infections 3786:Epidermodysplasia verruciformis 1940: 1918: 1879: 1869: 1843: 1738: 1720: 1677: 1620: 1599: 1556: 1498: 1479: 1470: 1448: 1410: 1401: 1324: 1281: 1093: 710: 652:Metastatic or recurrent disease 641:the combination of chemotherapy 391:Other types of anal cancer are 309: 116:, smoking, many sexual partners 2847:Adult T-cell leukemia/lymphoma 2833:Splenic marginal zone lymphoma 2593:Solid pseudopapillary neoplasm 2396:Gastrointestinal stromal tumor 2353:Familial adenomatous polyposis 1459:. International Herald Tribune 1066: 987: 931: 670:, such as platinum analogues, 593:anal intraepithelial neoplasia 1: 2401:Krukenberg tumor (metastatic) 743: 587:. More than 30% had abnormal 530: 290:in the United States is 68%. 4104:Mycoplasma hominis infection 3791:Focal epithelial hyperplasia 3052:Tropical spastic paraparesis 2957:Lymphocytic choriomeningitis 2622:Primary peritoneal carcinoma 2296:traditional serrated adenoma 1525:10.17235/reed.2022.8489/2021 1455:Tuller, David (2007-01-31). 1302:10.1097/AOG.0b013e31820bfb16 693: 598: 547: 375: 7: 4408:Infectious causes of cancer 3415:Cytomegalovirus esophagitis 3335:Human parainfluenza viruses 3008:Ramsay Hunt syndrome type 2 2562:Pancreatic ductal carcinoma 1119:10.1056/NEJM199711063371904 993:National Cancer Institute. 917:10.1056/NEJM198710153171601 523:"M0: No distant metastasis" 10: 4429: 2578:Serous microcystic adenoma 2173:Signet ring cell carcinoma 2111:Digestive system neoplasia 1928:. Cancer.net. 25 June 2012 718:human papillomavirus (HPV) 564:lesions, which are highly 494:Regional lymph nodes (pN) 460: 15: 4306: 4191: 4168: 4143: 4042: 3980: 3955: 3921: 3912: 3893:Experimental techniques: 3854: 3824: 3806: 3754: 3701: 3690: 3618: 3594: 3502: 3425: 3380: 3369: 3198: 3160: 3139: 3107: 3079:Cytomegalovirus retinitis 3062: 3016: 2895: 2884: 2857: 2684: 2612: 2541: 2499: 2486:Focal nodular hyperplasia 2422: 2413: 2388: 2366: 2264: 2241: 2216: 2207: 2158: 2135: 2126: 2117: 2032: 1977: 1926:"Anal Cancer: Statistics" 1799:Dewdney A, Rao S (2012). 1698:10.1007/s10350-004-0889-0 1290:Obstetrics and Gynecology 1230:"STD Facts – HPV and Men" 973:National Cancer Institute 865:10.1016/j.soc.2016.07.001 783:National Cancer Institute 574:similar to those used in 558:intraepithelial neoplasia 203: 195: 182: 167: 156: 136: 120: 99: 77: 69: 59: 47: 42: 33: 28: 4068:lymphogranuloma venereum 3781:Laryngeal papillomatosis 3181:Infectious mononucleosis 2998:Chandipura vesiculovirus 2828:Hepatocellular carcinoma 2773:Nasopharyngeal carcinoma 2706:Hepatocellular carcinoma 2588:Mucinous cystic neoplasm 2438:Hepatocellular carcinoma 2292:sessile serrated adenoma 1948:"Anal Cancer Statistics" 1033:10.1186/1471-2407-12-398 969:"Anal Cancer Prevention" 526:"M1: Distant metastasis" 519:Distant metastasis (pM) 382:squamous cell carcinomas 4398:Gastrointestinal cancer 4085:Klebsiella granulomatis 2977:Encephalitis lethargica 2678:viral systemic diseases 2627:Peritoneal mesothelioma 2376:Squamous cell carcinoma 2145:Squamous cell carcinoma 2066:Anal cancer information 1764:10.3748/wjg.v21.i8.2294 1333:"Cloacogenic carcinoma" 1264:American Cancer Society 1211:(fhcrc.org). 2004-07-06 1075:Danish Medical Bulletin 779:"Anal Cancer Treatment" 626:external anal sphincter 288:five-year survival rate 249:squamous cell carcinoma 163:, avoiding risk factors 82:Squamous cell carcinoma 4133:Ureaplasma urealyticum 3349:Human orthopneumovirus 3003:Herpesviral meningitis 2964:Arbovirus encephalitis 2468:Hepatocellular adenoma 2256:Pseudomyxoma peritonei 1751:World J. Gastroenterol 1000:July 14, 2009, at the 380:Most anal cancers are 303: 251:. Other types include 230:gastrointestinal tract 220:which arises from the 138:Differential diagnosis 4279:Molluscum contagiosum 4158:Trichomonas vaginalis 4097:Neisseria gonorrhoeae 4073:Chlamydia trachomatis 3988:Georgios Papanikolaou 2807:Merkel-cell carcinoma 487:"T3: Tumor > 5 cm" 386:epidermoid carcinomas 326:multiple sex partners 301: 235:Risk factors include 65:Anal bleeding or lump 4239:Human papillomavirus 4128:Ureaplasma infection 3739:Head and neck cancer 3685:Human papillomavirus 3452:Adenovirus infection 2916:Human polyomavirus 2 2745:Oropharyngeal cancer 2473:Cavernous hemangioma 2324:Familial adenomatous 2311:Polyposis syndromes: 1633:Cancer Cytopathology 618:inguinal lymph nodes 316:Human papillomavirus 265:physical examination 257:small cell carcinoma 237:human papillomavirus 127:Physical examination 106:Human papillomavirus 90:small cell carcinoma 4057:Haemophilus ducreyi 3963:Cervical conization 3038:Post-polio syndrome 2674:Infectious diseases 1818:10.5402/2012/756591 645:radiation treatment 628:, with concomitant 468:Primary tumor (pT) 455:Stage 4 anal cancer 443:Stage 3 anal cancer 431:Stage 2 anal cancer 419:Stage 1 anal cancer 4121:Treponema pallidum 4109:Mycoplasma hominis 3171:Epstein–Barr virus 3141:Respiratory system 2778:Burkitt's lymphoma 2533:Gallbladder cancer 2515:Cholangiocarcinoma 2455:Liver angiosarcoma 2389:Upper and/or lower 2338:Serrated polyposis 2070:Cancer Research UK 2033:External resources 1952:Cancer Research UK 1646:10.1002/cncy.22360 1492:2011-01-01 at the 1148:Parkin DM (2006). 975:. 14 February 2014 630:fecal incontinence 481:"T1: Tumor ≤ 2 cm" 304: 294:Signs and symptoms 189:Five year survival 4380: 4379: 4272:HSV-1 & HSV-2 4260:Hepatitis B virus 4001: 4000: 3993:Harald zur Hausen 3976: 3975: 3820: 3819: 3652: 3651: 3614: 3613: 3365: 3364: 3296:Influenza virus A 3213:Human coronavirus 3103: 3102: 3093:Herpes of the eye 2640: 2639: 2608: 2607: 2600:Pancreatoblastoma 2552:exocrine pancreas 2409: 2408: 2384: 2383: 2203: 2202: 2168:Gastric carcinoma 2056: 2055: 1565:Clin. Infect. Dis 1337:Annals of Surgery 1167:10.1002/ijc.21731 701:radiation therapy 604:Localised disease 358:Immunosuppression 280:radiation therapy 267:and confirmed by 211: 210: 172:Radiation therapy 122:Diagnostic method 73:Age over 45 years 23:Medical condition 18:Colorectal cancer 4420: 4359: 4340: 4321: 4028: 4021: 4014: 4005: 4004: 3919: 3918: 3699: 3698: 3679: 3672: 3665: 3656: 3655: 3378: 3377: 3373:digestive system 3290:Orthomyxoviridae 3256:SARS coronavirus 3242:MERS coronavirus 3158: 3157: 2970:Orthomyxoviridae 2893: 2892: 2859:Immune disorders 2783:Hodgkin lymphoma 2759:Kaposi's sarcoma 2667: 2660: 2653: 2644: 2643: 2420: 2419: 2319:MUTYH-associated 2304:Cronkhite–Canada 2275:Colorectal polyp 2214: 2213: 2190:Linitis plastica 2178:Gastric lymphoma 2133: 2132: 2124: 2123: 2104: 2097: 2090: 2081: 2080: 1975: 1974: 1963: 1962: 1960: 1958: 1944: 1938: 1937: 1935: 1933: 1922: 1916: 1915: 1913: 1912: 1903:. Archived from 1897: 1886: 1883: 1877: 1873: 1867: 1866: 1864: 1862: 1847: 1841: 1840: 1830: 1820: 1796: 1787: 1786: 1776: 1766: 1742: 1736: 1735: 1733: 1724: 1718: 1717: 1681: 1675: 1674: 1648: 1624: 1618: 1617: 1615: 1614: 1603: 1597: 1596: 1560: 1554: 1553: 1527: 1502: 1496: 1483: 1477: 1474: 1468: 1467: 1465: 1464: 1452: 1446: 1445: 1443: 1442: 1423: 1417: 1414: 1408: 1405: 1399: 1398: 1396: 1394: 1380: 1371: 1370: 1360: 1328: 1322: 1321: 1285: 1279: 1278: 1276: 1275: 1266:. Archived from 1256: 1245: 1244: 1242: 1241: 1226: 1220: 1219: 1217: 1216: 1197: 1188: 1187: 1169: 1145: 1132: 1131: 1121: 1097: 1091: 1090: 1070: 1064: 1063: 1053: 1035: 1011: 1005: 991: 985: 984: 982: 980: 965: 956: 955: 935: 929: 928: 900: 891: 890: 884: 876: 848: 835: 834: 832: 830: 816: 795: 794: 792: 790: 775: 452: 440: 428: 416: 330:anal intercourse 38: 26: 25: 4428: 4427: 4423: 4422: 4421: 4419: 4418: 4417: 4383: 4382: 4381: 4376: 4355: 4336: 4317: 4308: 4302: 4246:Genital warts ( 4187: 4164: 4139: 4038: 4032: 4002: 3997: 3972: 3951: 3908: 3877:Bethesda system 3850: 3816: 3802: 3750: 3709:Cervical cancer 3693: 3686: 3683: 3653: 3648: 3610: 3590: 3498: 3472:Gastroenteritis 3430: 3427:Gastroenteritis 3421: 3409:Cytomegalovirus 3372: 3361: 3329:Paramyxoviridae 3318:Avian influenza 3194: 3189:Cytomegalovirus 3153:viral pneumonia 3151: 3148:nasopharyngitis 3147: 3144: 3135: 3099: 3073:Cytomegalovirus 3058: 3012: 2900: 2887: 2880: 2853: 2720:Cervical cancer 2680: 2671: 2641: 2636: 2604: 2537: 2495: 2405: 2380: 2362: 2260: 2237: 2226:Duodenal cancer 2218:Small intestine 2199: 2154: 2113: 2108: 2057: 2052: 2051: 2028: 2027: 1986: 1972: 1967: 1966: 1956: 1954: 1946: 1945: 1941: 1931: 1929: 1924: 1923: 1919: 1910: 1908: 1899: 1898: 1889: 1884: 1880: 1874: 1870: 1860: 1858: 1849: 1848: 1844: 1797: 1790: 1757:(8): 2294–302. 1743: 1739: 1731: 1725: 1721: 1682: 1678: 1625: 1621: 1612: 1610: 1605: 1604: 1600: 1561: 1557: 1518:(12): 713–718. 1503: 1499: 1494:Wayback Machine 1484: 1480: 1475: 1471: 1462: 1460: 1453: 1449: 1440: 1438: 1425: 1424: 1420: 1415: 1411: 1406: 1402: 1392: 1390: 1382: 1381: 1374: 1329: 1325: 1286: 1282: 1273: 1271: 1258: 1257: 1248: 1239: 1237: 1228: 1227: 1223: 1214: 1212: 1199: 1198: 1191: 1160:(12): 3030–44. 1146: 1135: 1112:(19): 1350–58. 1106:N. Engl. J. Med 1098: 1094: 1071: 1067: 1012: 1008: 1002:Wayback Machine 992: 988: 978: 976: 967: 966: 959: 952: 936: 932: 911:(16): 973–977. 901: 894: 878: 877: 849: 838: 828: 826: 818: 817: 798: 788: 786: 777: 776: 751: 746: 738: 726: 713: 696: 680:antimetabolites 654: 606: 601: 589:anal Pap smears 581:cervical cancer 576:cervical cancer 572:Anal Pap smears 550: 533: 463: 456: 453: 444: 441: 432: 429: 420: 417: 378: 322:Sexual activity 312: 296: 276:HPV vaccination 228:opening of the 207:1,280 (US 2019) 199:8,300 (US 2019) 161:HPV vaccination 24: 21: 12: 11: 5: 4426: 4416: 4415: 4410: 4405: 4400: 4395: 4378: 4377: 4375: 4374: 4365: 4360: 4352: 4351: 4346: 4341: 4333: 4332: 4327: 4322: 4314: 4312: 4304: 4303: 4301: 4300: 4288: 4276: 4275: 4274: 4267:Herpes simplex 4264: 4252: 4243: 4235: 4234: 4233: 4228: 4223: 4218: 4210: 4197: 4195: 4189: 4188: 4186: 4185: 4180: 4174: 4172: 4166: 4165: 4163: 4162: 4153:Trichomoniasis 4149: 4147: 4141: 4140: 4138: 4137: 4125: 4113: 4101: 4089: 4077: 4061: 4048: 4046: 4040: 4039: 4031: 4030: 4023: 4016: 4008: 3999: 3998: 3996: 3995: 3990: 3984: 3982: 3978: 3977: 3974: 3973: 3971: 3970: 3965: 3959: 3957: 3953: 3952: 3950: 3949: 3944: 3939: 3934: 3928: 3926: 3916: 3910: 3909: 3907: 3906: 3905: 3904: 3899: 3891: 3890: 3889: 3887:Cytotechnology 3884: 3874: 3873: 3872: 3860: 3858: 3852: 3851: 3849: 3848: 3847: 3846: 3841: 3830: 3828: 3822: 3821: 3818: 3817: 3810: 3808: 3804: 3803: 3801: 3800: 3799: 3798: 3793: 3788: 3783: 3778: 3773: 3768: 3760: 3758: 3752: 3751: 3749: 3748: 3747: 3746: 3736: 3731: 3726: 3721: 3711: 3705: 3703: 3696: 3688: 3687: 3682: 3681: 3674: 3667: 3659: 3650: 3649: 3647: 3646: 3645: 3644: 3632: 3624: 3622: 3616: 3615: 3612: 3611: 3609: 3608: 3600: 3598: 3592: 3591: 3589: 3588: 3576: 3564: 3552: 3540: 3533: 3527: 3526: 3514: 3508: 3506: 3500: 3499: 3497: 3496: 3489: 3482: 3475: 3463: 3457: 3456: 3455: 3454: 3442: 3436: 3434: 3423: 3422: 3420: 3419: 3418: 3417: 3405: 3404: 3403: 3390: 3388: 3375: 3367: 3366: 3363: 3362: 3360: 3359: 3352: 3345: 3344: 3343: 3323: 3322: 3321: 3320: 3281: 3280: 3279: 3278: 3266: 3265: 3264: 3252: 3251: 3250: 3238: 3237: 3236: 3204: 3202: 3196: 3195: 3193: 3192: 3185: 3184: 3183: 3166: 3164: 3155: 3137: 3136: 3134: 3133: 3132: 3131: 3126: 3113: 3111: 3109:Cardiovascular 3105: 3104: 3101: 3100: 3098: 3097: 3096: 3095: 3083: 3082: 3081: 3068: 3066: 3060: 3059: 3057: 3056: 3055: 3054: 3042: 3041: 3040: 3035: 3022: 3020: 3014: 3013: 3011: 3010: 3005: 3000: 2995: 2994: 2993: 2981: 2980: 2979: 2966: 2961: 2960: 2959: 2947: 2946: 2945: 2933: 2927: 2926: 2925: 2924: 2912: 2906: 2904: 2890: 2888:nervous system 2882: 2881: 2879: 2878: 2877: 2876: 2863: 2861: 2855: 2854: 2852: 2851: 2850: 2849: 2837: 2836: 2835: 2830: 2818: 2812: 2811: 2810: 2809: 2797: 2796: 2795: 2790: 2785: 2780: 2775: 2763: 2762: 2761: 2749: 2748: 2747: 2742: 2740:Vaginal cancer 2737: 2732: 2727: 2722: 2710: 2709: 2708: 2696: 2690: 2688: 2682: 2681: 2670: 2669: 2662: 2655: 2647: 2638: 2637: 2635: 2634: 2629: 2624: 2618: 2616: 2610: 2609: 2606: 2605: 2603: 2602: 2596: 2595: 2590: 2585: 2580: 2565: 2564: 2559: 2557:Adenocarcinoma 2547: 2545: 2539: 2538: 2536: 2535: 2523: 2522: 2520:Klatskin tumor 2517: 2505: 2503: 2497: 2496: 2494: 2493: 2488: 2476: 2475: 2470: 2458: 2457: 2452: 2450:Hepatoblastoma 2447: 2446: 2445: 2428: 2426: 2417: 2411: 2410: 2407: 2406: 2404: 2403: 2398: 2392: 2390: 2386: 2385: 2382: 2381: 2379: 2378: 2372: 2370: 2364: 2363: 2361: 2360: 2355: 2350: 2348:Adenocarcinoma 2341: 2340: 2335: 2330: 2321: 2316: 2307: 2306: 2270: 2268: 2262: 2261: 2259: 2258: 2253: 2247: 2245: 2239: 2238: 2236: 2235: 2234: 2233: 2231:Adenocarcinoma 2222: 2220: 2211: 2205: 2204: 2201: 2200: 2198: 2197: 2192: 2187: 2186: 2185: 2175: 2170: 2164: 2162: 2156: 2155: 2153: 2152: 2150:Adenocarcinoma 2147: 2141: 2139: 2130: 2121: 2115: 2114: 2107: 2106: 2099: 2092: 2084: 2078: 2077: 2072: 2063: 2054: 2053: 2050: 2049: 2037: 2036: 2034: 2030: 2029: 2026: 2025: 2014: 2003: 1987: 1982: 1981: 1979: 1978:Classification 1971: 1970:External links 1968: 1965: 1964: 1939: 1917: 1887: 1878: 1868: 1851:"Fluorouracil" 1842: 1788: 1737: 1719: 1692:(5): 1042–54. 1676: 1639:(2): 140–147. 1619: 1598: 1577:10.1086/505219 1555: 1497: 1478: 1469: 1447: 1418: 1409: 1400: 1372: 1323: 1280: 1246: 1221: 1189: 1154:Int. J. Cancer 1133: 1092: 1081:(3): 194–209. 1065: 1006: 986: 957: 950: 930: 892: 836: 796: 748: 747: 745: 742: 737: 736:United Kingdom 734: 725: 722: 712: 709: 703:combined with 695: 692: 672:anthracyclines 653: 650: 605: 602: 600: 597: 583:or high-grade 549: 546: 532: 529: 528: 527: 524: 517: 516: 515: 514: 511: 508: 502: 499: 492: 491: 488: 485: 482: 479: 476: 473: 462: 459: 458: 457: 454: 447: 445: 442: 435: 433: 430: 423: 421: 418: 411: 393:adenocarcinoma 377: 374: 373: 372: 368: 365: 355: 340:Epidemiologist 333: 328:and receptive 319: 311: 308: 295: 292: 253:adenocarcinoma 209: 208: 205: 201: 200: 197: 193: 192: 191:~68% (US 2015) 186: 180: 179: 169: 165: 164: 158: 154: 153: 140: 134: 133: 124: 118: 117: 103: 97: 96: 86:adenocarcinoma 79: 75: 74: 71: 67: 66: 63: 57: 56: 51: 45: 44: 40: 39: 31: 30: 22: 9: 6: 4: 3: 2: 4425: 4414: 4413:Anal diseases 4411: 4409: 4406: 4404: 4401: 4399: 4396: 4394: 4391: 4390: 4388: 4373: 4369: 4366: 4364: 4361: 4358: 4354: 4353: 4350: 4347: 4345: 4342: 4339: 4335: 4334: 4331: 4328: 4326: 4323: 4320: 4316: 4315: 4313: 4311: 4305: 4298: 4297: 4292: 4289: 4286: 4285: 4280: 4277: 4273: 4270: 4269: 4268: 4265: 4262: 4261: 4256: 4253: 4251: 4249: 4244: 4242: 4240: 4236: 4232: 4229: 4227: 4224: 4222: 4219: 4217: 4214: 4213: 4211: 4208: 4207: 4202: 4199: 4198: 4196: 4194: 4190: 4184: 4181: 4179: 4176: 4175: 4173: 4171: 4167: 4160: 4159: 4154: 4151: 4150: 4148: 4146: 4142: 4135: 4134: 4129: 4126: 4123: 4122: 4117: 4114: 4111: 4110: 4105: 4102: 4099: 4098: 4093: 4090: 4087: 4086: 4081: 4078: 4075: 4074: 4069: 4065: 4062: 4059: 4058: 4053: 4050: 4049: 4047: 4045: 4041: 4036: 4029: 4024: 4022: 4017: 4015: 4010: 4009: 4006: 3994: 3991: 3989: 3986: 3985: 3983: 3979: 3969: 3966: 3964: 3961: 3960: 3958: 3954: 3948: 3945: 3943: 3940: 3938: 3935: 3933: 3930: 3929: 3927: 3925: 3920: 3917: 3915: 3911: 3903: 3902:Cervicography 3900: 3898: 3895: 3894: 3892: 3888: 3885: 3883: 3882:Cytopathology 3880: 3879: 3878: 3875: 3871: 3868: 3867: 3865: 3862: 3861: 3859: 3857: 3853: 3845: 3842: 3840: 3837: 3836: 3835: 3832: 3831: 3829: 3827: 3823: 3814: 3811:Acrochordon ( 3809: 3805: 3797: 3794: 3792: 3789: 3787: 3784: 3782: 3779: 3777: 3774: 3772: 3769: 3767: 3764: 3763: 3762: 3761: 3759: 3757: 3753: 3744: 3740: 3737: 3735: 3732: 3730: 3727: 3725: 3722: 3720: 3717: 3716: 3715: 3712: 3710: 3707: 3706: 3704: 3700: 3697: 3695: 3689: 3680: 3675: 3673: 3668: 3666: 3661: 3660: 3657: 3643: 3640: 3639: 3638: 3637: 3633: 3631: 3630: 3626: 3625: 3623: 3621: 3617: 3607: 3606: 3602: 3601: 3599: 3597: 3593: 3586: 3582: 3581: 3577: 3574: 3570: 3569: 3565: 3562: 3558: 3557: 3553: 3550: 3546: 3545: 3541: 3539: 3538: 3534: 3532: 3529: 3528: 3524: 3520: 3519: 3515: 3513: 3510: 3509: 3507: 3505: 3501: 3495: 3494: 3490: 3488: 3487: 3483: 3481: 3480: 3476: 3473: 3469: 3468: 3464: 3462: 3459: 3458: 3453: 3450: 3449: 3448: 3447: 3443: 3441: 3438: 3437: 3435: 3433: 3428: 3424: 3416: 3413: 3412: 3411: 3410: 3406: 3402: 3399: 3398: 3397: 3396: 3392: 3391: 3389: 3387: 3383: 3379: 3376: 3374: 3368: 3358: 3357: 3353: 3351: 3350: 3346: 3342: 3341:Parainfluenza 3339: 3338: 3337: 3336: 3331: 3330: 3325: 3324: 3319: 3315: 3312: 3311: 3310: 3309: 3305: 3301: 3297: 3292: 3291: 3286: 3283: 3282: 3277: 3274: 3273: 3272: 3271: 3267: 3263: 3260: 3259: 3258: 3257: 3253: 3249: 3246: 3245: 3244: 3243: 3239: 3235: 3232: 3231: 3230: 3229: 3225: 3221: 3217: 3214: 3209: 3206: 3205: 3203: 3201: 3197: 3191: 3190: 3186: 3182: 3178: 3177:EBV infection 3175: 3174: 3173: 3172: 3168: 3167: 3165: 3163: 3159: 3156: 3154: 3149: 3142: 3138: 3130: 3127: 3125: 3122: 3121: 3120: 3119: 3115: 3114: 3112: 3110: 3106: 3094: 3091: 3090: 3089: 3088: 3084: 3080: 3077: 3076: 3075: 3074: 3070: 3069: 3067: 3065: 3061: 3053: 3050: 3049: 3048: 3047: 3043: 3039: 3036: 3034: 3033:Poliomyelitis 3031: 3030: 3029: 3028: 3024: 3023: 3021: 3019: 3015: 3009: 3006: 3004: 3001: 2999: 2996: 2992: 2989: 2988: 2987: 2986: 2982: 2978: 2975: 2974: 2972: 2971: 2967: 2965: 2962: 2958: 2955: 2954: 2953: 2952: 2948: 2944: 2941: 2940: 2939: 2938: 2934: 2932: 2929: 2928: 2923: 2920: 2919: 2918: 2917: 2913: 2911: 2908: 2907: 2905: 2903: 2898: 2894: 2891: 2889: 2883: 2875: 2872: 2871: 2870: 2869: 2865: 2864: 2862: 2860: 2856: 2848: 2845: 2844: 2843: 2842: 2838: 2834: 2831: 2829: 2826: 2825: 2824: 2823: 2819: 2817: 2814: 2813: 2808: 2805: 2804: 2803: 2802: 2798: 2794: 2791: 2789: 2786: 2784: 2781: 2779: 2776: 2774: 2771: 2770: 2769: 2768: 2764: 2760: 2757: 2756: 2755: 2754: 2750: 2746: 2743: 2741: 2738: 2736: 2735:Vulvar cancer 2733: 2731: 2730:Penile cancer 2728: 2726: 2723: 2721: 2718: 2717: 2716: 2715: 2711: 2707: 2704: 2703: 2702: 2701: 2697: 2695: 2692: 2691: 2689: 2687: 2683: 2679: 2675: 2668: 2663: 2661: 2656: 2654: 2649: 2648: 2645: 2633: 2630: 2628: 2625: 2623: 2620: 2619: 2617: 2615: 2611: 2601: 2598: 2597: 2594: 2591: 2589: 2586: 2584: 2581: 2579: 2575: 2574: 2571: 2567: 2566: 2563: 2560: 2558: 2555: 2553: 2549: 2548: 2546: 2544: 2540: 2534: 2531: 2529: 2525: 2524: 2521: 2518: 2516: 2513: 2511: 2507: 2506: 2504: 2502: 2501:Biliary tract 2498: 2492: 2489: 2487: 2484: 2482: 2478: 2477: 2474: 2471: 2469: 2466: 2464: 2460: 2459: 2456: 2453: 2451: 2448: 2444: 2443:Fibrolamellar 2441: 2440: 2439: 2436: 2434: 2430: 2429: 2427: 2425: 2421: 2418: 2416: 2412: 2402: 2399: 2397: 2394: 2393: 2391: 2387: 2377: 2374: 2373: 2371: 2369: 2365: 2359: 2356: 2354: 2351: 2349: 2346: 2343: 2342: 2339: 2336: 2334: 2331: 2329: 2325: 2322: 2320: 2317: 2315: 2312: 2309: 2308: 2305: 2301: 2300:Peutz–Jeghers 2297: 2293: 2289: 2285: 2281: 2278: 2276: 2272: 2271: 2269: 2267: 2263: 2257: 2254: 2252: 2249: 2248: 2246: 2244: 2240: 2232: 2229: 2228: 2227: 2224: 2223: 2221: 2219: 2215: 2212: 2210: 2206: 2196: 2193: 2191: 2188: 2184: 2183:MALT lymphoma 2181: 2180: 2179: 2176: 2174: 2171: 2169: 2166: 2165: 2163: 2161: 2157: 2151: 2148: 2146: 2143: 2142: 2140: 2138: 2134: 2131: 2129: 2125: 2122: 2120: 2116: 2112: 2105: 2100: 2098: 2093: 2091: 2086: 2085: 2082: 2076: 2073: 2071: 2067: 2064: 2062: 2059: 2058: 2048: 2044: 2043: 2039: 2038: 2035: 2031: 2024: 2020: 2019: 2015: 2013: 2009: 2008: 2004: 2002: 1998: 1997: 1993: 1989: 1988: 1985: 1980: 1976: 1953: 1949: 1943: 1927: 1921: 1907:on 2016-12-03 1906: 1902: 1896: 1894: 1892: 1882: 1872: 1856: 1852: 1846: 1838: 1834: 1829: 1824: 1819: 1814: 1810: 1806: 1805:ISRN Oncology 1802: 1795: 1793: 1784: 1780: 1775: 1770: 1765: 1760: 1756: 1752: 1748: 1741: 1730: 1723: 1715: 1711: 1707: 1703: 1699: 1695: 1691: 1687: 1680: 1672: 1668: 1664: 1660: 1656: 1652: 1647: 1642: 1638: 1634: 1630: 1623: 1608: 1602: 1594: 1590: 1586: 1582: 1578: 1574: 1571:(2): 223–33. 1570: 1566: 1559: 1551: 1547: 1543: 1539: 1535: 1531: 1526: 1521: 1517: 1513: 1509: 1501: 1495: 1491: 1488: 1482: 1473: 1458: 1451: 1436: 1432: 1428: 1422: 1413: 1404: 1389: 1385: 1384:"Anal Cancer" 1379: 1377: 1368: 1364: 1359: 1354: 1350: 1346: 1342: 1338: 1334: 1327: 1319: 1315: 1311: 1307: 1303: 1299: 1296:(3): 643–49. 1295: 1291: 1284: 1270:on 2014-12-22 1269: 1265: 1261: 1260:"Anal Cancer" 1255: 1253: 1251: 1235: 1231: 1225: 1210: 1206: 1204: 1196: 1194: 1185: 1181: 1177: 1173: 1168: 1163: 1159: 1155: 1151: 1144: 1142: 1140: 1138: 1129: 1125: 1120: 1115: 1111: 1107: 1103: 1096: 1088: 1084: 1080: 1076: 1069: 1061: 1057: 1052: 1047: 1043: 1039: 1034: 1029: 1025: 1021: 1017: 1010: 1003: 999: 996: 990: 974: 970: 964: 962: 953: 951:9780702051166 947: 943: 942: 934: 926: 922: 918: 914: 910: 906: 899: 897: 888: 882: 874: 870: 866: 862: 858: 854: 847: 845: 843: 841: 825: 821: 815: 813: 811: 809: 807: 805: 803: 801: 784: 780: 774: 772: 770: 768: 766: 764: 762: 760: 758: 756: 754: 749: 741: 733: 730: 724:United States 721: 719: 708: 706: 702: 691: 689: 685: 681: 677: 673: 669: 666: 663: 662:squamous cell 659: 649: 646: 642: 637: 635: 631: 627: 623: 619: 615: 610: 596: 594: 590: 586: 582: 577: 573: 569: 567: 563: 559: 555: 545: 541: 538: 525: 522: 521: 520: 512: 509: 506: 505: 503: 500: 497: 496: 495: 489: 486: 483: 480: 477: 474: 471: 470: 469: 466: 451: 446: 439: 434: 427: 422: 415: 410: 409: 408: 406: 402: 398: 394: 389: 387: 383: 369: 366: 363: 359: 356: 353: 352:immune system 349: 345: 341: 337: 334: 331: 327: 323: 320: 317: 314: 313: 307: 300: 291: 289: 285: 281: 277: 272: 270: 269:tissue biopsy 266: 262: 258: 254: 250: 246: 242: 238: 233: 231: 227: 223: 219: 215: 206: 202: 198: 194: 190: 187: 185: 181: 177: 173: 170: 166: 162: 159: 155: 152: 148: 144: 141: 139: 135: 132: 131:tissue biopsy 128: 125: 123: 119: 115: 111: 107: 104: 102: 98: 95: 91: 87: 83: 80: 76: 72: 68: 64: 62: 58: 55: 52: 50: 46: 41: 37: 32: 27: 19: 4356: 4344:Epididymitis 4337: 4318: 4310:inflammation 4294: 4282: 4258: 4247: 4238: 4230: 4204: 4156: 4131: 4119: 4107: 4095: 4083: 4071: 4055: 3897:Speculoscopy 3834:HPV vaccines 3718: 3634: 3627: 3603: 3596:Pancreatitis 3578: 3566: 3554: 3542: 3535: 3516: 3491: 3484: 3477: 3465: 3444: 3407: 3393: 3354: 3347: 3333: 3327: 3294: 3288: 3268: 3254: 3240: 3211: 3187: 3169: 3124:Pericarditis 3116: 3085: 3071: 3044: 3025: 2983: 2968: 2949: 2935: 2914: 2897:Encephalitis 2866: 2839: 2820: 2799: 2765: 2751: 2724: 2712: 2698: 2568: 2550: 2526: 2508: 2479: 2461: 2431: 2367: 2344: 2310: 2284:hyperplastic 2273: 2266:Colon/rectum 2040: 2016: 2005: 1990: 1955:. 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Index

Colorectal cancer

Specialty
Oncology
Symptoms
Squamous cell carcinoma
adenocarcinoma
small cell carcinoma
melanoma
Risk factors
Human papillomavirus
HIV/AIDS
anal sex
Diagnostic method
Physical examination
tissue biopsy
Differential diagnosis
Anal warts
hemorrhoids
anal fissure
HPV vaccination
Radiation therapy
chemotherapy
Prognosis
Five year survival
cancer
anus
distal
gastrointestinal tract
human papillomavirus

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