Minimal invasive methods such as infrared coagulation is indicated for localized anal cancer.  Chemotherapy and radiation are the first-line therapy for metastatic disease. 
Localized anal cancer is treated with minimal invasive treatment as infrared coagulation.
Metastatic anal cancer is treated with chemotherapy (fluorouracil (5-FU) and cisplatin) concurrent with radiation.
For what purpose is medical therapy employed in the management of anal cancer?
<s>[INST] Answer the question truthfully, you are a medical professional. This is the question: For what purpose is medical therapy employed in the management of anal cancer? [/INST] \n Minimal invasive methods such as infrared coagulation is indicated for localized anal cancer.  Chemotherapy and radiation are the first-line therapy for metastatic disease. 
Localized anal cancer is treated with minimal invasive treatment as infrared coagulation.
Metastatic anal cancer is treated with chemotherapy (fluorouracil (5-FU) and cisplatin) concurrent with radiation.</s>