Anal Cancer: The Case for Earlier Diagnosis | Zendy

A T Edwards | Zendy; L C Morus | Zendy; M E Foster | Zendy; G H Griffith | Zendy

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Anal Cancer: The Case for Earlier Diagnosis

Author(s) -

A T Edwards,

L C Morus,

M E Foster,

G H Griffith

Publication year - 1991

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107689108400705

Subject(s) - medicine , presentation (obstetrics) , rectum , surgery , wide local excision , anal cancer , surgical excision , anus neoplasms , cancer , survival rate , carcinoma , general surgery , anal canal

The results of treatment in 22 patients with anal carcinoma are reviewed. The overall results are disappointing with only five (28%) surviving more than 5 years. The commonest form of treatment during the study period was an abdomino-perineal excision of rectum (APER). For patients with tumours less than 2 cm in diameter local excision is an acceptable alternative. The majority (76%) of tumours were diagnosed as common benign conditions by the referring practitioners leading to a delay in initiating definitive treatment. Most tumours (81%) were greater than 2 cm in diameter and therefore unsuitable for local excision. There was a high recurrence rate (76%) amongst the group treated by APER. This along with the poor overall survival is probably due to late presentation.

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