Systemic Therapy for Stage I–III Anal Squamous Cell Carcinoma

Publication Date: December 16, 2024

Key Points

Key Points

  • Anal and anorectal cancers are relatively rare, yet age-adjusted death rates rose an average 5.1% each year from 2013 to 2022.a
  • Most cases are linked to human papillomavirus (HPV) infection, and risk factors include human immunodeficiency virus (HIV) infection and smoking.
  • For many decades, definitive CRT has been the standard of care in anal cancer.
a National Cancer Institute: Surveillance, Epidemiology, and End Results Program. Cancer Stat Facts: Anal Cancer, 2024.

Treatment

...eatment

...e: The following recommendations (strong or co...


...ion 1: What are the recommended radiosensiti...

...n-C (MMC) with a fluoropyrimidine (5-fluorouracil...

...in with 5FU is an additional chemothera...


...n 2: What are the recommended dose and sch...

....Recommended dosing and schedules for the chem...

...here combination chemotherapy is not indicated,...


...on 3: Is induction chemotherapy recommend...

....Routine induction chemotherapy prior to...


...on 4: Is ongoing adjuvant chemotherapy reco...

....Additional chemotherapy following CRT is...


...nal Cancer Algorithma Due to an increased risk o...