October 20, 2012

Anal Cancer Treatment Choices by Stage


Anal Cancer Stage 0 (Carcinoma in Situ)

Treatment of stage 0 anal cancer is usually local resection.

Stage I Anal Cancer

Treatment of stage I anal cancer may include the following:
• Local resection.
• External-beam radiation therapy with or without chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.

• Internal radiation therapy.
• Abdominoperineal resection, if cancer persist or come back after treatment with radiation therapy and chemotherapy.
• Internal radiation therapy for cancer that persisted after treatment with external-beam radiation therapy.
Patients who have had treatment that saves the sphincter muscles may receive examinations follow-up every 3 months for the first 2 years, including rectal exams with endoscopy and biopsy, as needed.

Anal Cancer Stage II

Treatment of stage II anal cancer may include the following:
• Local resection.
• External-beam radiation therapy with chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.
• Internal radiation therapy.
• Abdominoperineal resection, if cancer persist or come back after treatment with radiation therapy and chemotherapy.
• A clinical trial of treatment options are new.
Patients who have had treatment that saves the sphincter muscles may receive follow-examination check-up every 3 months for the first 2 years, including rectal exams with endoscopy and biopsy, as needed.

  

Stage IIIA Anal Cancer

Treatment of stage IIIA anal cancer may include the following:
• External-beam radiation therapy with chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.
• Internal radiation beam.
• Abdominoperineal resection, if cancer persist or come back after treatment with chemotherapy and radiation therapy.
• A clinical trial of treatment options are new.

Stage IIIB Anal Cancer

Treatment of stage IIIB anal cancer may include the following:
• External-beam radiation therapy with chemotherapy.
• Local resection or abdominoperineal resection, if cancer persist or come back after treatment with chemotherapy and radiation therapy. Mungin lymph nodes are also removed / discarded.
• A clinical trial of treatment options are new.

Anal Cancer Stage IV

Treatment of stage IV anal cancer may include the following:
• Surgery as palliative therapy to relieve symptoms and improve quality of life.
• Radiation therapy as palliative therapy.
• Chemotherapy with radiation therapy as palliative therapy.
• A clinical trial of treatment options are new.

Treatment Options for Anal Cancer (rectum) The Recurring

Treatment of recurrent anal cancer-times may include the following:
• Radiation therapy and chemotherapy, for recurrence after surgery.
• Operations, for recurrence after radiation therapy and / or chemotherapy.
• A clinical trial of radiation therapy with chemotherapy and / or radiosensitizers.

Anal Cancer Treatment Choices by Stage


Anal Cancer Stage 0 (Carcinoma in Situ)

Treatment of stage 0 anal cancer is usually local resection.

Stage I Anal Cancer

Treatment of stage I anal cancer may include the following:
• Local resection.
• External-beam radiation therapy with or without chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.

• Internal radiation therapy.
• Abdominoperineal resection, if cancer persist or come back after treatment with radiation therapy and chemotherapy.
• Internal radiation therapy for cancer that persisted after treatment with external-beam radiation therapy.
Patients who have had treatment that saves the sphincter muscles may receive examinations follow-up every 3 months for the first 2 years, including rectal exams with endoscopy and biopsy, as needed.

Anal Cancer Stage II

Treatment of stage II anal cancer may include the following:
• Local resection.
• External-beam radiation therapy with chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.
• Internal radiation therapy.
• Abdominoperineal resection, if cancer persist or come back after treatment with radiation therapy and chemotherapy.
• A clinical trial of treatment options are new.
Patients who have had treatment that saves the sphincter muscles may receive follow-examination check-up every 3 months for the first 2 years, including rectal exams with endoscopy and biopsy, as needed.

  

Stage IIIA Anal Cancer

Treatment of stage IIIA anal cancer may include the following:
• External-beam radiation therapy with chemotherapy. If the cancer persists after treatment, additional chemotherapy and radiation therapy may be given to avoid the need for a permanent colostomy.
• Internal radiation beam.
• Abdominoperineal resection, if cancer persist or come back after treatment with chemotherapy and radiation therapy.
• A clinical trial of treatment options are new.

Stage IIIB Anal Cancer

Treatment of stage IIIB anal cancer may include the following:
• External-beam radiation therapy with chemotherapy.
• Local resection or abdominoperineal resection, if cancer persist or come back after treatment with chemotherapy and radiation therapy. Mungin lymph nodes are also removed / discarded.
• A clinical trial of treatment options are new.

Anal Cancer Stage IV

Treatment of stage IV anal cancer may include the following:
• Surgery as palliative therapy to relieve symptoms and improve quality of life.
• Radiation therapy as palliative therapy.
• Chemotherapy with radiation therapy as palliative therapy.
• A clinical trial of treatment options are new.

Treatment Options for Anal Cancer (rectum) The Recurring

Treatment of recurrent anal cancer-times may include the following:
• Radiation therapy and chemotherapy, for recurrence after surgery.
• Operations, for recurrence after radiation therapy and / or chemotherapy.
• A clinical trial of radiation therapy with chemotherapy and / or radiosensitizers.