Anal cancer is a malignant tumor originating from the anal canal and anal margin. Delayed diagnosis in the early stages may lead to rapid tumor progression, metastasis, and severe life-threatening conditions. A proper diagnostic process helps doctors comprehensively assess the disease and formulate precise treatment strategies. Anal cancer diagnosis mainly includes clinical examination and auxiliary examinations, providing scientific evidence for subsequent treatment.
1. Clinical symptoms and physical examination
Doctors first inquire about patient symptoms such as anal pain, bleeding, and presence of a mass, combined with digital rectal examination for initial judgment. Digital rectal examination can detect masses within the anal canal, assessing their size, texture, and mobility. This is an important step in diagnosing anal cancer.
2. Endoscopic examination
Anoscopy and rectoscopy allow direct visualization of the anal canal and lower rectum to detect lesion sites and their extent. By observing tumor morphology, color, and vascular distribution under endoscopy, doctors obtain direct information about the tumor, which also helps guide biopsy sampling.
3. Pathological biopsy
Biopsy is the gold standard for confirming anal cancer. Doctors collect tumor tissue samples for pathological analysis to determine tumor type and grade. Pathological results are the core reference for developing treatment plans.
4. Imaging examinations
Imaging examinations, including MRI, CT, and ultrasound, are used to assess the depth of local tumor invasion and lymph node metastasis. MRI has high soft tissue resolution and is an important tool for evaluating tumor extent and preoperative assessment. CT scans help detect distant metastases.
5. Viral testing and auxiliary examinations
Some anal cancers are closely associated with human papillomavirus (HPV) infection. HPV testing helps screen high-risk populations. Meanwhile, blood tests evaluate the patient’s overall condition and provide references for treatment.
6. Multidisciplinary consultation
Anal cancer patients usually require a multidisciplinary team—including oncology, surgery, radiotherapy, and pathology departments—for joint diagnosis and treatment. Combining multiple diagnostic results helps achieve precise staging and individualized treatment.
Early diagnosis of anal cancer depends on comprehensive evaluation using multiple examination methods. Experts at United Life International Medical Center emphasize that standardized diagnostic processes are key to improving cure rates. Early detection and treatment significantly improve patient prognosis.