Monday, May 2, 2011

Anal Cancer and Kerry's Story: Beware of HPV

Kerry Legend
Kerry a 42-year-old executive who was in excellent health. He was married but no children and was never pregnant. He has no past medical history and no family history of cancer with a non-smoker was. Specifically, Kerry had a history of sexually transmitted diseases and HIV was negative. When he saw blood on toilet paper after a bowel movement, she first thought the problem was due to hemorrhoids. However, two weeks later, the bleeding increased and the pain and itching around the anus with. That his primary physician exam anal sphincter showed a mass was 2 x 2 inches. Her doctor in her back did not feel any abnormal lymph nodes. He referred to a colorectal surgeon who performed a colonoscopy. The test but no other lesions seen by her primary physician confirmed mass. Biopsy a squamous cell carcinoma, rectal cancer diagnosed.

After her diagnosis, Kerry surgeon sent him a PET / CT scan in the rectal mass showed only distortion. A distant metastatic spread of her cancer (away terminal) was suggested activity. Her surgeon, a radiation oncologist and medical oncologist sent to him. They radiation (RT) therapy and chemotherapy delivered together (concurrently chemoRT), who took the recommended 6-week period. Kerry intensity modulated radiation therapy (IMRT) was treated with so little, including bowel and bladder RT vital organs at low doses, while her hips and waist and rectal tumors within the lymph nodes to treat possible microscopic cancer cells. By the IV infusion as an outpatient and concurrent mitomycin chemotherapy fluorouracial obtained. Kerry severe irritation and redness of the skin, including groin and anal side effects of treatment were expected, but he did not need a break during IMRT. The fatigue is important that during most of his chemoRT kept out of work. Some loose bowels which he well after adjusting his diet was controlled. Near completion of her treatment, there was no evidence of any remaining tumor. About six weeks over the treatment of side effects was found. Kerry also her cancer doctor every three to six months has seen the last five years and he is cancer free!

Basics
Although this is a GI tract cancer is one of the least common, there are still about anal cancer diagnosed each year in the U.S. 5000 cases. There are more women than men are diagnosed. The average age at diagnosis is about 60 years old, but patients in their 30s and 40s can be. If the disease is localized, that is the case for 50% of patients, the cure rate is about 80%.

Risk factors
The majority of patients who are diagnosed with rectal cancer a risk factor is not clearly defined. However, factors that increase the risk of developing anal cancer, human (HPV) papillomavirus infections are associated with the risk. The same kind of virus that causes genital warts. Some strains of HPV virus as well as anal cancer and cervical cancer, throat cancer and some types of development are associated with a higher risk. Activities that put people at risk for HPV, as receptive anal intercourse, even after they put at risk of developing rectal cancer.

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