The results of surgery for epidermoid carcinoma of the anus
Article first published online: 8 DEC 2005
Copyright © 1985 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 72, Issue 9, pages 712–714, September 1985
How to Cite
Pyper, P. C. and Parks, T. G. (1985), The results of surgery for epidermoid carcinoma of the anus. Br J Surg, 72: 712–714. doi: 10.1002/bjs.1800720913
- Issue published online: 8 DEC 2005
- Article first published online: 8 DEC 2005
- Manuscript Accepted: 30 APR 1985
- Anal carcinoma;
A series of 89 cases of anal carcinoma presenting over a 20-year period is reviewed. The majority were epidermoid carcinomas, 57 arising in the anal canal and 13 at the anal margin. The remainder were melanomas and basal cell carcinomas, and these were not considered further. The main presenting symptoms of epidermoid anal carcinomas were bleeding and pain. Tumours arising in the anal canal were commoner in women whilst those at the margin were more frequent in men. The majority (51/70) had a clinical diagnosis of malignancy made but in 19 cases this was not considered initially. The necessity for routine early histological diagnosis is stressed. Treatment was mainly surgical, either abdominoperineal resection (37 canal, 2 margin) or wide excision (8 canal, 11 margin). The 5 year survival of patients with anal margin tumours was better than those with canal lesions (50 per cent compared with 36 per cent).