[Initial pretherapeutic assessment of anal epidermoid carcinoma].
Anal epidermoid carcinoma is a rare malignant tumor, comprising less than 5% of all carcinomas of the colon, rectum, and anus. The primary therapy now includes radiotherapy, often in combination with chemotherapy. Radical surgery is now rarely indicated. Therapeutic indications are based on locoregional staging, the presence of visceral metastases and an evaluation of the medical history. Anorectal endosonography is helpful in evaluating locoregional extension. In addition, magnetic resonance imaging, positron emission tomography scanning and inguinal sentinel lymph node procedure should play a role in a more selective approach in patients with anal carcinoma.
de Parades
Vincent
V
Service de Proctologie Médico-Interventionnelle, Groupe Hospitalier Diaconesses - Croix Saint-Simon, Paris. proctologie@hopital-dcss.org
Bauer
Pierre
P
Benbunan
Jean-Louis
JL
Bouillet
Thierry
T
Cottu
Paul-Henri
PH
Cuenod
Charles-André
CA
Durdux
Catherine
C
Fléjou
Jean-François
JF
Atienza
Patrick
P
D001005:Anus Neoplasms / Q000473:pathology / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000628:therapy*; D003952:Diagnostic Imaging; D006801:Humans; D009367:Neoplasm Staging; D012307:Risk Factors