Treatment of squamous cell carcinoma of anal canal not involving the deeper structures include: (A) Abdomino pereneal resection, (B) Wide local excision + Radiotherapy, (C) Wide local excision + Chemoradiation, (D) Chemoradiation
Answer is D. Anal cancer # Uncommon tumour, which is usually a squamous cell carcinoma # Associated with HPV # More prevalent in patients with HIV infection # May affect the anal verge or anal canal # Lymphatic spread is to the inguinal lymph nodes # Treatment is by chemoradiotherapy in the first instance # Major ablative surgery is required if the above fails Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-1269