Skip to main content

Anal Carcinoma Surveillance Counterpoint: USA

  • Chapter
  • First Online:
Patient Surveillance After Cancer Treatment

Abstract

Anal cancer accounts for 4 % of all lower gastrointestinal tract malignancies in the United States [1]. The incidence of anal cancer appears to be on the rise, with increases in incidence rates of 2.6 % per year reported between 1992 and 2000 [2]. Over 5,000 new cases of anal cancer are diagnosed in the U.S. annually [3]. The overall 5-year survival rate is 66.5 % [4]. This varies by stage at diagnosis (82 % for local disease; 59 % for regional disease and 19 % for distant disease) [3]. The vast majority (65–85 %) of anal malignancies are squamous cell carcinomas, which include various histological subtypes such as cloacogenic, basaloid, and transitional cell cancers [2]. Cancers of the anus have been categorized as those arising in the anal canal, or intraanal, and those arising at the anal margin, or perianal region [5].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Eng C. Anal cancer: current and future methodology. Cancer Invest. 2006;24(5):535–44.

    Article  PubMed  Google Scholar 

  2. Joseph DA, Miller JW, Wu X, et al. Understanding the burden of human papillomavirus-associated anal cancers in the US. Cancer. 2008;113(10 Suppl):2892–900.

    Article  PubMed  Google Scholar 

  3. American Cancer Society. Cancer facts & figures 2008. Atlanta: American Cancer Society, Inc; 2008.

    Google Scholar 

  4. SEER Cancer Statistics Review, 1975–2005. 2007 [cited 22 Sept 20008]; Available from: http://seer.cancer.gov/csr/1975_2005

  5. Welton ML, Sharkey FE, Kahlenberg MS. The etiology and epidemiology of anal cancer. Surg Oncol Clin N Am. 2004;13(2):263–75.

    Article  PubMed  Google Scholar 

  6. Giuliano AR, Tortolero-Luna G, Ferrer E, et al. Epidemiology of human papillomavirus infection in men, cancers other than cervical and benign conditions. Vaccine. 2008;26 Suppl 10:K17–28.

    Article  PubMed  Google Scholar 

  7. IARC. IARC monographs on the evaluation of carcinogenic risks to humans. Human Papillomaviruses. 2007;90:1–670.

    Google Scholar 

  8. Daling JR, Madeleine MM, Johnson LG, et al. Human papillomavirus, smoking, and sexual practices in the etiology of anal cancer. Cancer. 2004;101(2):270–80.

    Article  PubMed  Google Scholar 

  9. Nigro ND, Vaitkevicius VK, Considine Jr B. Combined therapy for cancer of the anal canal: a preliminary report. Dis Colon Rectum. 1974;17(3):354–6.

    Article  PubMed  CAS  Google Scholar 

  10. Ajani JA, Winter KA, Gunderson LL, et al. Fluorouracil, mitomycin, and radiotherapy vs fluorouracil, cisplatin, and radiotherapy for carcinoma of the anal canal: a randomized controlled trial. JAMA. 2008;299(16):1914–21.

    Article  PubMed  CAS  Google Scholar 

  11. Chapet O, Gerard JP, Mornex F, et al. Prognostic factors of squamous cell carcinoma of the anal margin treated by radiotherapy: the Lyon experience. Int J Colorectal Dis. 2007;22(2):191–9.

    Article  PubMed  Google Scholar 

  12. Das P, Bhatia S, Eng C, et al. Predictors and patterns of recurrence after definitive chemoradiation for anal cancer. Int J Radiat Oncol Biol Phys. 2007;68(3):794–800.

    Article  PubMed  Google Scholar 

  13. Khanfir K, Ozsahin M, Bieri S, Cavuto C, René O, Mirimanoff RO, et al. Patterns of failure and outcome in patients with carcinoma of the anal margin. Ann Surg Oncol. 2008;15(4):1092–8.

    Article  PubMed  Google Scholar 

  14. Roohipour R, Patil S, Goodman KA, et al. Squamous-cell carcinoma of the anal canal: predictors of treatment outcome. Dis Colon Rectum. 2008;51(2):147–53.

    Article  PubMed  Google Scholar 

  15. Flam M, John M, Pajak TF, et al. Role of mitomycin in combination with fluorouracil and radiotherapy, and of salvage chemoradiation in the definitive nonsurgical treatment of epidermoid carcinoma of the anal canal: results of a phase III randomized intergroup study. J Clin Oncol. 1996;14(9):2527–39.

    PubMed  CAS  Google Scholar 

  16. Fakhry C, Westra WH, Li S, et al. Improved survival of patients with human papillomavirus-positive head and neck squamous cell carcinoma in a prospective clinical trial. J Natl Cancer Inst. 2008;100(4):261–9.

    Article  PubMed  CAS  Google Scholar 

  17. Gillison ML, Chaturvedi AK, Lowy DR. HPV prophylactic vaccines and the potential prevention of noncervical cancers in both men and women. Cancer. 2008;113 Suppl 10:3036–46.

    Article  PubMed  Google Scholar 

  18. Engstrom PF, Benson III AB, Chen YJ, et al. Anal canal cancer clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2005;3(4):510–5.

    PubMed  Google Scholar 

  19. Akbari RP, Paty PB, Guillem JG, et al. Oncologic outcomes of salvage surgery for epidermoid carcinoma of the anus initially managed with combined modality therapy. Dis Colon Rectum. 2004;47(7):1136–44.

    Article  PubMed  Google Scholar 

  20. Ellenhorn JD, Enker WE, Quan SH. Salvage abdominoperineal resection following combined chemotherapy and radiotherapy for epidermoid carcinoma of the anus. Ann Surg Oncol. 1994;1(2):105–10.

    Article  PubMed  CAS  Google Scholar 

  21. Longo WE, Vernava 3rd AM, Wade TP, Coplin MA, Virgo KS, Johnson FE. Recurrent squamous cell carcinoma of the anal canal. Predictors of initial treatment failure and results of salvage therapy. Ann Surg. 1994;220(1):40–9.

    Article  PubMed  CAS  Google Scholar 

  22. Peiffert D, Bey P, Pernot M, et al. Conservative treatment by irradiation of epidermoid cancers of the anal canal: prognostic factors of tumoral control and complications. Int J Radiat Oncol Biol Phys. 1997;37(2):313–24.

    Article  PubMed  CAS  Google Scholar 

  23. Epidermoid anal cancer: results from the UKCCCR randomised trial of radiotherapy alone versus radiotherapy, 5-fluorouracil, and mitomycin. UKCCCR Anal Cancer Trial Working Party. UK Co-ordinating Committee on Cancer Research. Lancet. 1996;348(9034):1049–1054.

    Google Scholar 

  24. Konski A, Garcia Jr M, Madhu J, et al. Evaluation of planned treatment breaks during radiation therapy for anal cancer: update of RTOG 92-08. Int J Radiat Oncol Biol Phys. 2008;72(1):114–8.

    Article  PubMed  Google Scholar 

  25. Faynsod M, Vargas HI, Tolmos J, et al. Patterns of recurrence in anal canal carcinoma. Arch Surg. 2000;135(9):1090–3. discussion 1094–1095.

    Article  PubMed  CAS  Google Scholar 

  26. Touboul E, Schlienger M, Buffat L, et al. Epidermoid carcinoma of the anal canal. Results of curative-intent radiation therapy in a series of 270 patients. Cancer. 1994;73(6):1569–79.

    Article  PubMed  CAS  Google Scholar 

  27. Trautmann TG, Zuger JH. Positron Emission Tomography for pretreatment staging and posttreatment evaluation in cancer of the anal canal. Mol Imaging Biol. 2005;7(4):309–13.

    Article  PubMed  Google Scholar 

  28. Johnson LG, Madeleine MM, Newcomer LM, et al. Anal cancer incidence and survival: the surveillance, epidemiology, and end results experience, 1973–2000. Cancer. 2004;101(2):281–8.

    Article  PubMed  Google Scholar 

  29. Myerson RJ, Karnell LH, Menck HR. The National Cancer Data Base report on carcinoma of the anus. Cancer. 1997;80(4):805–15.

    Article  PubMed  CAS  Google Scholar 

  30. Heather B, Newlin HE, Zlotecki RA, et al. Squamous cell carcinoma of the anal margin. J Surg Oncol. 2004;86(2):55–62. discussion 63.

    Article  Google Scholar 

  31. Peiffert D, Bey P, Pernot M, et al. Conservative treatment by irradiation of epidermoid carcinomas of the anal margin. Int J Radiat Oncol Biol Phys. 1997;39(1):57–66.

    Article  PubMed  CAS  Google Scholar 

  32. Touboul E, Schlienger M, Buffat L, et al. Epidermoid carcinoma of the anal margin: 17 cases treated with curative-intent radiation therapy. Radiother Oncol. 1995;34(3):195–202.

    Article  PubMed  CAS  Google Scholar 

  33. Bieri S, Allal AS, Kurtz JM. Sphincter-conserving treatment of carcinomas of the anal margin. Acta Oncol. 2001;40(1):29–33.

    Article  PubMed  CAS  Google Scholar 

  34. Cutuli B, Fenton J, Labib A, Bataini JP, Mathieu G, et al. Anal margin carcinoma: 21 cases treated at the Institut Curie by exclusive conservative radiotherapy. Radiother Oncol. 1988;11(1):1–6.

    Article  PubMed  CAS  Google Scholar 

  35. Papillon J, Chassard JL. Respective roles of radiotherapy and surgery in the management of epidermoid carcinoma of the anal margin. Series of 57 patients. Dis Colon Rectum. 1992;35(5):422–9.

    Article  PubMed  CAS  Google Scholar 

  36. Goldman S, Svensson C, Brönnergård M, Glimelius B, Wallin G. Prognostic significance of serum concentration of squamous cell carcinoma antigen in anal epidermoid carcinoma. Int J Colorectal Dis. 1993;8(2):98–102.

    Article  PubMed  CAS  Google Scholar 

  37. Martellucci J, Naldini G, Colosimo C, Cionini L, Rossi M. Accuracy of endoanal ultrasound in the follow-up assessment for squamous cell carcinoma of the anal canal treated with radiochemotherapy. Surg Endosc. 2009;23:1054–7.

    Article  PubMed  Google Scholar 

  38. Saranovic D, Saranovic D, Barisic G, Krivokapic Z, Masulovic D, Djuric-Stefanovic A. Endoanal ultrasound evaluation of anorectal diseases and disorders: technique, indications, results and limitations. Eur J Radiol. 2007;61(3):480–9.

    Article  PubMed  Google Scholar 

  39. Milano MT, Jani AB, Farrey KJ, Rash C, Heimann R, Chmura SJ. Intensity-modulated radiation therapy (IMRT) in the treatment of anal cancer: toxicity and clinical outcome. Int J Radiat Oncol Biol Phys. 2005;63(2):354–61.

    Article  PubMed  Google Scholar 

  40. Chen YJ, Liu A, Tsai PT. Organ sparing by conformal avoidance intensity-modulated radiation therapy for anal cancer: dosimetric evaluation of coverage of pelvis and inguinal/femoral nodes. Int J Radiat Oncol Biol Phys. 2005;63(1):274–81.

    Article  PubMed  Google Scholar 

  41. Cotter SE, Grigsby PW, Siegel BA. FDG-PET/CT in the evaluation of anal carcinoma. Int J Radiat Oncol Biol Phys. 2006;65(3):720–5.

    Article  PubMed  Google Scholar 

  42. Schwarz JK, Siegel BA, Dehdashti F, Myerson RJ, Fleshman JW, Grigsby PW. Tumor response and survival predicted by post-therapy FDG-PET/CT in anal cancer. Int J Radiat Oncol Biol Phys. 2008;71(1):180–6.

    Article  PubMed  Google Scholar 

  43. Stewart D, Yan Y, Kodner IJ, et al. Salvage surgery after failed chemoradiation for anal canal cancer: should the paradigm be changed for high-risk tumors? J Gastrointest Surg. 2007;11(12):1744–51.

    Article  PubMed  Google Scholar 

  44. Wexler A, Bersom AM, Goldstone SE. Invasive anal squamous-cell carcinoma in the HIV-positive patient: outcome in the era of highly active antiretroviral therapy. Dis Colon Rectum. 2008;51(1):73–81.

    Article  PubMed  Google Scholar 

  45. Uronis HE, Bendell JC. Anal cancer: an overview. Oncologist. 2007;12(5):524–34.

    Article  PubMed  Google Scholar 

  46. Gaertner WB, Hagerman GF, Finne CO. Fistula-associated anal adenocarcinoma: good results with aggressive therapy. Dis Colon Rectum. 2008;51(7):1061–7.

    Article  PubMed  Google Scholar 

  47. Lee J, Corman M. Recurrence of anal adenocarcinoma after local excision and adjuvant chemoradiation therapy: report of a case and review of the literature. J Gastrointest Surg. 2009;13(1):150–4.

    Article  PubMed  Google Scholar 

  48. Belkacemi Y, Berger C, Poortmans P, et al. Management of primary anal canal adenocarcinoma: a large retrospective study from the Rare Cancer Network. Int J Radiat Oncol Biol Phys. 2003;56(5):1274–83.

    Article  PubMed  Google Scholar 

  49. Joon DL, Chao MW, Ngan SY, Joon ML, Guiney MJ. Primary adenocarcinoma of the anus: a retrospective analysis. Int J Radiat Oncol Biol Phys. 1999;45(5):1199–205.

    Article  PubMed  CAS  Google Scholar 

  50. Papagikos M, Crane CH, Skibber J. Chemoradiation for adenocarcinoma of the anus. Int J Radiat Oncol Biol Phys. 2003;55(3):669–78.

    Article  PubMed  Google Scholar 

  51. Li LR, Wan DS, Pan ZZ, et al. Clinical features and treatment of 49 patients with anal canal adenocarcinoma. Zhonghua Wei Chang Wai Ke Za Zhi. 2006;9(5):402–4.

    PubMed  CAS  Google Scholar 

  52. Beal KP, Wong D, Guillem JG, et al. Primary adenocarcinoma of the anus treated with combined modality therapy. Dis Colon Rectum. 2003;46(10):1320–4.

    Article  PubMed  Google Scholar 

  53. Brabender J, Vallböhmer D, Grimminger P, et al. ERCC1 RNA expression in peripheral blood predicts minor histopathological response to neoadjuvant radio-chemotherapy in patients with locally advanced cancer of the esophagus. J Gastrointest Surg. 2008;12(11):1815–21.

    Article  PubMed  Google Scholar 

  54. Paré L, Marcuello E, Altés A, et al. Pharmacogenetic prediction of clinical outcome in advanced colorectal cancer patients receiving oxaliplatin/5-fluorouracil as first-line chemotherapy. Br J Cancer. 2008;99(7):1050–5.

    Article  PubMed  Google Scholar 

  55. Pentheroudakis G, Kalogeras KT, Wirtz RM, et al. Gene expression of estrogen receptor, progesterone receptor and microtubule-associated protein Tau in high-risk early breast cancer: a quest for molecular predictors of treatment benefit in the context of a Hellenic Cooperative Oncology Group trial. Breast Cancer Res Treat. 2009;116(1):131–43.

    Article  PubMed  CAS  Google Scholar 

  56. Razis E, Briasoulis E, Vrettou E, et al. Potential value of PTEN in predicting cetuximab response in colorectal cancer: an exploratory study. BMC Cancer. 2008;8:234.

    Article  PubMed  Google Scholar 

  57. Takahari D, Yamada Y, Okita N, et al. Relationships of insulin-like growth factor-1 receptor and epidermal growth factor receptor expression to clinical outcomes in patients with colorectal cancer. Oncology. 2009;76(1):42–8.

    Article  PubMed  CAS  Google Scholar 

  58. Zhang X, Chang A. Molecular predictors of EGFR-TKI sensitivity in advanced non-small cell lung cancer. Int J Med Sci. 2008;5(4):209–17.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Shibata M.D., F.A.C.S., F.A.S.C.R.S .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Humana Press

About this chapter

Cite this chapter

Hernandez, J.M., Siegel, E.M., Koch, A., Shibata, D. (2013). Anal Carcinoma Surveillance Counterpoint: USA. In: Johnson, F., et al. Patient Surveillance After Cancer Treatment. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-969-7_38

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-969-7_38

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-968-0

  • Online ISBN: 978-1-60327-969-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics