Exam, : Endoscopy, imaging and biopsy. Anal cancers go to groin nodes. Exam and imaging finds the yes or no answer. The anal canal is short, and leads form the perianal skin through it to the rectum. All need inspection. Curiously, older women are the most common. Despite risk of ano-genital incourse, more cases do not have that experience than do. The biopsy of a suspected lesion is the only proof.
Answered 2/13/2013
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