A five-year audit of anal cancer in Wales

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
S S KarandikarA G Radcliffe

Abstract

A retrospective audit has been undertaken of Squamous (epidermoid) type of anal cancer diagnosed and treated in the principality of Wales over a five-year period (1995-99) with follow-up until 2005. The referral pattern, distribution, presenting symptoms, predisposing conditions, clinical findings and staging modalities were documented. The surgical and oncological treatment together with their outcome was analysed. Patients were identified from the Welsh Cancer Registry and the pathology databases of the 17 acute hospitals in Wales. Data was collected from the clinical and oncology case notes onto a purpose designed Microsoft access database. There was a wide variation in data quality from the individual units. Twenty-six anal cancers were diagnosed per year in the region. Median age was 69 years. Ten percent had documented perianal Human Papilloma Virus related disease. Radiology was inconsistently used for staging. Eighty percent were referred for an oncology opinion; 50% had chemo-radiotherapy with a curative intent. The over-all Stoma rate was 35% and of these 18% had an abdomino perineal resection. The overall five-year survival was 45%. This is a unique regional audit of anal cancer. Improvements need to be made in docum...Continue Reading

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Citations

Jan 30, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S C YoungF A Frizelle
Jan 15, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A H EngledowP B Boulos
Jun 21, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Ian GehRichard Adams

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