Squamous carcinoma in situ of anal canal

50+ year old woman, otherwise healthy with squamous cell CIS of the anal canal (at dentate line). Discovered incidentally on endoscopy. Just roughness on DRE and can visualize on anoscopy. Unfortunately, significant circumferential involvement and unlikely to be a candidate for surgery with both adequate margin and sphincter preservation. Doing staging workup, etc. Assuming no more advanced disease will become evident. Concurrent chemorads just seems harsh here (could treat relatively low... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums