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Anal cancer

Anal cancer, cared for close to home by one team.

Anal cancer is often highly treatable, and most cases are managed with a combination of chemotherapy and radiation rather than surgery. Our oncologists coordinate that treatment closely with radiation specialists.

How we approach it

Chemo-radiation first

Most anal cancers are treated with combined chemotherapy and radiation, often avoiding the need for major surgery

Organ-preserving approach

The goal is to cure the cancer while preserving normal function whenever possible

Coordinated, supportive care

We coordinate timing with radiation and support you through what can be an intensive few weeks

What the workup looks like

1
Confirming it with a biopsy

An exam and a small biopsy confirm the diagnosis. Anal cancer is often linked to HPV, which we take into account.

2
Mapping it with imaging

An MRI of the pelvis, and usually a PET/CT, show the tumor's size and whether nearby lymph nodes are involved.

3
A plan built around chemoradiation

Most anal cancers are treated with chemotherapy and radiation together rather than surgery — sequenced for your situation and explained step by step.

Common questions

Is surgery always needed for anal cancer?
Usually not. The standard treatment is combined chemotherapy and radiation, which cures many anal cancers without removing the area.
What are the symptoms?
Bleeding, discomfort, a lump, or changes in bowel habits can occur — often mistaken for hemorrhoids, so persistent symptoms deserve evaluation.
Is anal cancer related to HPV?
Many anal cancers are linked to HPV, similar to cervical cancer.
How long does treatment take?
Combined chemo-radiation is typically given over several weeks. It can be intensive, and we support you closely throughout.

This page is general information, not medical advice for your specific situation. Every diagnosis — and every patient — is different. Bring your questions to your care team.