Anal Cancer

  • Medical Author: Jay B. Zatzkin, MD, FACP
  • Medical Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

Anal Cancer and HPV

Genital wart: A wart in the moist skin of the genitals or around the anus. Genital warts are due to a human papillomavirus (HPV). The HPVs, including those that cause genital warts, are transmitted through sexual contact. HPV can also be transmitted from mother to baby during childbirth. Most people infected with HPV have no symptoms, but these viruses increase a woman's risk for cancer of the cervix. HPV infection is the most common sexually transmitted disease in the US. It is also the leading cause of abnormal PAP smears and pre-cancerous changes of the cervix in women. There is no cure for HPV infection, although anti-viral medications can reduce outbreaks and topical preparations can speed healing. Once contracted, the virus can stay with a person for life. Also called condyloma acuminatum, condylomata.

Quick GuideSTD Diagnosis, Images, Symptoms, Treatment

STD Diagnosis, Images, Symptoms, Treatment

Anal cancer facts*

*Anal cancer facts medical author:

  • The anus is the end portion of the gastrointestinal tract. It includes the anal canal containing the muscular valve, or sphincter, which controls the emptying of the rectum to the outside. It also includes the perianal skin just outside of the anus.
  • Anal cancer is a disease in which cancer develops in the cells of the anus at the lower and external end of the digestive tract. Anal cancer can arise in either the anal canal or on the perianal skin.
  • Colorectal cancer is cancer that occurs in the part of the digestive tract in the colon or rectum. It is much more common and completely different type of cancer and is thus distinct from anal cancer.
  • Risk factors for anal cancer include age over 50, human papillomavirus (HPV) infection, many sexual partners, receptive anal sex, chronic immune suppression, and cigarette smoking.
  • The causes for anal cancer are HPV infection with certain types of HPV viruses, a weakened immune system, a history of certain prior pelvic cancers, and cigarette smoking.
  • Symptoms and signs of anal cancer include anal bleeding, pain or pressure in the anal area, lump or mass near the anus, anal discharge, and change in bowel habits.
  • Diagnostic tests include health history and rectal exam, anoscopy, and likely also deeper endoscopic examinations. Ultimately, a surgical biopsy may be performed to diagnose anal cancer.
  • The prognosis of anal cancer is affected by the stage, or extent, of the cancer when it was discovered. Stage is assessed by the results of the diagnostic tests, as well further testing involving CT scan and sometimes PET scan, and other health studies.
  • There a five stages of anal cancer ranging from 0 through IV. The higher the number, the more extensive the disease at presentation.
  • Treatment for anal cancer is usually curative when the disease is found at an early (lower numbered) stage. Today the best medical approach for the majority of patients is a combination of radiation and chemotherapy.
  • Surgery for very early disease also can be curative. Radical surgery requiring a colostomy is no longer a necessary initial or primary treatment. It may be required if there is residual or recurrent disease after nonsurgical treatment.
  • Stage IV or metastatic anal cancer is generally not curable, but treatment can both prolong survival with and reduce symptoms from the disease.
  • HPV vaccination may prevent this disease.
Medically Reviewed by a Doctor on 4/28/2017

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