Anal cancer accounts for 1.6% of all GI malignancies in the US. Its incidence increases with age; the peak is in the sixth and seventh decades. HPV has been liked to this disease, as has renal transplant, smokers, and patients with HIV infection. Symptoms include pain, mass, constipation, diarrhea, and itching, however 25% of cases are asymptomatic. Procedures for diagnosis include physical exam, anoscopy, proctoscopy, and transrectal ultrasound. A biopsy is required. Staging includes imaging. Women should have a gynecologic exam screening for HPV. Both men and women should be checked for HIV.
Treatment can include surgery, combined chemotherapy and radiation or chemotherapy alone. Chemotherapy agents used include 5-FU, mitomycin, and cisplatin.
Bladder Cancer Specialists
Dr. Abraham Schwarzberg received his Medical Oncology and Hematology training at the Dana-Farber Cancer Institute and his Internal Medicine training at the Brigham & Women’s Hospital in Boston, MA.
Dr. Schwarzberg is currently seeing patients with all types of cancer, with a focus on genitourinary cancers, sarcoma/GIST and melanoma. Click here to learn more about Dr. Abraham Schwarzberg.
Brooke Johnson was born and raised in Orlando, FL. She attended the University of Florida, where her studies sparked her interest in nursing. After graduating from UF with a Bachelor of Science in Nursing, she began her nursing career at Emory University Hospital in Atlanta, GA. Her area of practice was focused on post thoracic surgical care in pulmonary disease and lung transplantation. This experience introduced her to oncology nursing. Click here to learn more about Brooke Johnson.
With more than 20 years of Oncology Experience, Ms. Casella-Rymer is a board certified nurse practitioner that is currently involved in the evaluation, management and treatment of patients with both hematologic and solid tumor malignancies at the Cancer Center of South Florida. Click here to learn more about Ms. Casella-Rymer.