NOTE

🌱 created from: anal cancer

workup_and_staging_of_anal_cancer

• DRE, anoscopy, inguinal exam, CT, or MRI pelvis + CT chest/abdomen, HIV test, GYN exam, consider fertility-risk discussion.
  • Consider PET/CT

Early

• Stage 0: Tis (HSIL);
• Stage I: Tumor ≤2 cm (T1);

Stage II

• Stage IIA: Tumor 2–5 cm (T2), N0;
• Stage IIB: >5 cm (T3), N0;

Stage III

• Stage IIIA: T1–T2 (≤5 cm) & involved regional LN (N1);

• Stage IIIB: Any size but invading adjacent organs (T4), neg LN;

• Stage IIIC: T3–T4 & positive LN (N1);

• Stage IV: Distant mets (M1)

• Consider bx by FNA for clinically suspicious LN