Page 1 of 1: Ca anus

mohna · Credits: 856 My Scrapbook

in ca anus distal margin cleared is
2cm?
5cm?
4cm ?or 7cm?.plz explain the rationale behind it
thanxs

pajitmenon · Credits: 1107 My Scrapbook

dear dr
kindly clarify the Q... is it ca.rectum or ca.anus

The management of anal cancer underwent an interesting transformation over the last two decades. Prior to this period, the standard definitive treatment for carcinoma of the anal canal was abdominal-perineal resection, which necessitated a permanent colostomy. The organ preservation concept appeared following the discovery of a high complete response rate from preoperative combined chemoradiation prior to abdominal-perineal resection. The organ preservation method of treatment rapidly gained popularity and ultimately saved a large number of patients from undergoing abdominal-perineal resection and colostomy. Chemoradiation treatment itself subsequently went through an evolutionary process.

http://www.meritcare.com/hwdb/showTopic.asp?[b]pd_hwid=ncicdr0000062898

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thanx

indianprince · Credits: 990 My Scrapbook

Dear members
I agree.
The funda of distal coearance is applicable to ca rectum and not to anal canal. In ca rectum the margin is either 2 or 5 cm depending on the type of ca.
In ca anus we give chemoradiation and then take biopsy from the area. If malignancy remains, APR is to be done.

mohna · Credits: 856 My Scrapbook

thanxs folks i m cleared may be it is misprinted in the book salgunal( most of the time)

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