Introduction
- Most common type is basaloid cancer
- more frequent in women
- located above dentate line
- Second most common is squamous cell CA
- more frequent in men who have anal intercourse
- associated with HPV 16, 18
- located in anal canal
- Risk factors
- fistulas
- abscess
- infections
- Crohn’s disease
Presentation
- Symptoms
- 25% asymptomatic
- anal bleeding
- pain
- mucus per rectum
- pruritus
Evaluation
- Anoscope
- Biopsy
Treatment
- Surgical
- excision