Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- rectal bleeding
- rectal pain
- rectal mass
Другие диагностические факторы
- anal discharge
- anal itching
- fecal incontinence
- anal fistula
- non-healing ulcer
- inguinal node mass
- features of distant metastasis
Факторы риска
- HPV
- HIV
- immunosuppression
- receptive anal intercourse
- multiple sexual partners
- autoimmune disease
- smoking
- anal intraepithelial neoplasia
- anal fistula
Диагностические исследования
Исследования, которые показаны в первую очередь
- anoscopy
- biopsy of tumor
- pelvis MRI scan
- pelvis CT scan
- abdominal and chest CT scan
Исследования, проведение которых нужно рассмотреть
- PET scan
- inguinal node needle biopsy
- serum HIV enzyme-linked immunosorbent assay (ELISA)
- cervical cancer screening
Алгоритм лечения
locoregional disease
distant metastatic disease
Составители
Авторы
Bruce D. Minsky, MD
Professor and Frank T. McGraw Endowed Chair
Radiation Oncology
MD Anderson Cancer Center
Houston
TX
Раскрытие информации
BDM declares that he has no competing interests.
Рецензенты
Brian Czito, MD
Associate Professor
Department of Radiation Oncology
Duke University Medical Center
Durham
NC
Раскрытие информации
BC declares that he has no competing interests.
Lisa Kachnic, MD
Chief and Associate Professor
Department of Radiation Oncology
Boston University Medical Center
Boston
MA
Раскрытие информации
LK has received funding from the US Department of Defense to perform research on non-anal cancers. LK is the author of a study referenced in this topic.
Sue Clark, MD
Consultant Colorectal Surgeon
Assistant Director
The Polyposis Registry
St Mark's Hospital
Harrow
UK
Раскрытие информации
SC declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Rao S, Guren MG, Khan K, et al. Anal cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2021 Sep;32(9):1087-100.Полный текст Аннотация
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: anal carcinoma [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Hemorrhoids
- Rectal cancer
- Anal margin cancer
Больше ОтличияGuidelines
- ACR appropriateness criteria: staging and follow-up of anal cancer
- NCCN clinical practice guidelines in oncology: cancer in people with HIV
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