RT Book, Section A1 Wo, Jennifer A2 Chabner, Bruce A. A2 Longo, Dan L. SR Print(0) ID 1127649103 T1 Anal Cancer T2 Harrison's Manual of Oncology, 2e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071793254 LK hemonc.mhmedical.com/content.aspx?aid=1127649103 RD 2024/04/20 AB Anal cancer is responsible for approximately 2.1% of digestive system malignancies with 6230 new cases estimated in the United States in 2012 (1). Anal cancer was once believed to be caused by chronic inflammation of the anal canal and treated with abdominoperineal resection (APR). Research has now shown that the development of anal cancer is associated with human papillomavirus (HPV) infection and has a pathophysiology similar to that of cervical cancer. Concurrent chemotherapy and external beam radiation therapy (EBRT) regimens have essentially replaced APR as primary treatment and have allowed for a great majority of patients to be cured with preservation of the anal sphincter.