Other Anal Conditions

Mr Maurice Brygel

e-mail: mbrygel@netspace.net.au

Consulting and operating at:

Masada Private Hospital

26 Balaclava Road East St Kilda VIC 3183

Ph: 03 90381300
or 1300 HERNIA
fax: 03 9527 1519

For outside Australia
ph: +61 3 90381300
fax: +61 3 9527 1519

Also consulting and operating at:

Sir John Monash Private Hospital

212 Clayton Road
Clayton VIC 3168

Cabrini Private Hospital

181- 183 Wattletree Road Malvern VIC 3144

Cancer

Carcinoma of the Anus

Cancers of the anus or anal canal are usually of the squamous cell type.
That is like cells of the skin rather than cells from the lining of the bowel which are glandular type and called adenocarcinoma.

They are much less common than bowel cancer.

Before development they may be microscopic in size (carcinoma in situ). These are readily removed by local excision with complete cure.

They present as a lump or ulcer with discomfort and blood. When advanced they tend to spread to the lymph glands in the groin rather than lymph glands in the abdomen.

Biopsy is required to differentiate this from other conditions such as:
    - anal warts
    - anal fissure
    - pruritis ani
    - Crohn's disease of anus
    - non specific ulcer
    - basal cell cancer
    - carcinoma complicating a fistula

Treatment

local excision - if not too large. This avoids damaging the underlying sphincters
for larger lesions more radical surgery may be required including removal of bowel

Phone: +61 3 9525 9077 - email: mbrygel@netspace.net.au - fax +61 3 9527 1519

Melbourne Haemorrhoid and Rectal Bleeding Clinic