Locally Recurrent Disease Related to Anal Canal Cancers.
Surgery for anal cancer is usually reserved for patients with persistent disease or local recurrence after definitive chemoradiation therapy. Patients with local recurrence should be re-evaluated for evidence of metastatic disease using positron emission tomography-computed tomography, and the local anatomy should be delineated with MRI. Eligible patients should undergo tailored surgery with the aim of achieving an R0 resection. Management is best undertaken within a specialized multidisciplinary setting. Careful patient selection and shared decision making are paramount for achieving acceptable patient-centered outcomes.
['Sammour|Tarik|T|', 'Rodriguez-Bigas|Miguel A|MA|', 'Skibber|John M|JM|']
D001003:Anal Canal D001005:Anus Neoplasms D002294:Carcinoma, Squamous Cell D059248:Chemoradiotherapy D003131:Combined Modality Therapy D006801:Humans D009364:Neoplasm Recurrence, Local D000072078:Positron Emission Tomography Computed Tomography D012189:Retrospective Studies
Local recurrence Anal canal Anal cancer Anal squamous cell carcinoma Exenteration