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These are difficult to treat. Abdominoperineal resection with a colostomy is not usually required but may be performed if initial treatment is unsuccessful. Further radiation treatment or chemotherapy may be offered. Long-term follow-up may detect the secondary spread of cancer metastases to local lymph glands or elsewhere. Anal squamous cell carcinoma, SCC of the anus. In Australia and New Zealand, the rates of anal cancer are increasing in association with documented increases in infection with HPV. In people that have had more than one type of cancer due to human papillomavirus HPV infection , anal cancer can be at the same time, after or before cancers in other genital sites cervix, vulva , vagina and in males, penis. Anal cancer and anal canal cancer — codes and concepts open. HPV is just as commonly detected in the anus as in the cervix, although anal cancer is not nearly as common as cervical cancer.

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