After a thorough investigational workup, the when the diagnosis and stage of anal canal cancer is confirmed, the next step is the treatment. The anal cancer treatment may depends on various factors including stage of the disease, age, performance status of the patient, patient’s preference along with other factors.
Following are the treatment options for different stages of anal cancer but the final decision is taken by the oncologist after complete assessment of the patient.
|0||Tis N0 M0||Stage 0 anal cancer can be treated by removal of the pre-cancerous lesion by local excision with the negative margins.|
|I and II||T1-3 N0 M0||In the case of Stage I to II anal cancer, chemotherapy along with radiotherapy is considered the preferred treatment.|
|III||Any T N0-1 M0||In the case of Stage III anal cancer, chemotherapy along with radiotherapy is considered the first-line treatment.|
|IV||Any T Any N M1||In the case of Stage IV anal cancer, chemotherapy is the mainstay of treatment|
Following is the brief description of various treatment types employed for anal cancer:
It is very important to assess the benefits of each treatment option versus the possible risks and side effects before making a treatment decision. Sometimes the patient’s choice and health condition are also important to make a treatment choice.
Following are goals of treating anal cancer:
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