Abstract
Surgery for anal cancer is usually reserved for patients with persistent disease or local recurrence after definitive chemoradiation therapy. Patients with local recurrence should be re-evaluated for evidence of metastatic disease using positron emission tomography–computed tomography, and the local anatomy should be delineated with MRI. Eligible patients should undergo tailored surgery with the aim of achieving an R0 resection. Management is best undertaken within a specialized multidisciplinary setting. Careful patient selection and shared decision making are paramount for achieving acceptable patient-centered outcomes.
Original language | English (US) |
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Pages (from-to) | 115-125 |
Number of pages | 11 |
Journal | Surgical oncology clinics of North America |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2017 |
Keywords
- Anal canal
- Anal cancer
- Anal squamous cell carcinoma
- Exenteration
- Local recurrence
ASJC Scopus subject areas
- Surgery
- Oncology