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Anal carcinoma

  1. The allopathic definition

Malignant epithelial tumor of the anal region.

  1. How frequently does this type of cancer occur (incidence rate) in Germany (USA appr. x 3)?

Currently 2-5% of all interstinal cancer illnesses. There are tests which indicate that a connection exists between anal cancer and homosexuality, chlamydias, herpes, and papilloma viruses. However these studies can be called into question as frequently in this case data is interpreted in ways would not stand up to strict scientific examination.

  1. Subdivisions:

App. 90% of all colon carcinomas are plate epithelial and cloacogenic carcinomas (cloacae= end of the hindgut). In addition there are basaloid (from the basal cells) and mucoepidermoid  (glandular-cystic structures) carcinomas.

  1. How is this type of cancer diagnosed by allopathic practitioners?

Stool examination for blood, bleeding, sigmoidoscopy  (endoscopy of the intestine), pain, pencil-thin stool, coloscopy, X-ray (with barium swallow) ultrasound, laboratory with increased CEA and LDH.

What are the stages of the disease?

The TNMG system is employed worldwide to evaluate the tumor stage. This means:

T = Tumor stage. Stages 1-4.

N = Nodes (Latin nodus). Stages 0-3.

For anal cancer:

N0 = No lymph node metastases

N1 = Perirectal lymph node metastases

N2 = Inguinal lymph node metastases (in the groin) and on the internal iliac artery on one side.

N3 = Inguinal lymph node metastases (in the groin) and on the internal iliac artery on both sides.

M = Metastasis. Stages 0 (none) – 1.

G = Degree of cellular degeneration. Stages 1-4. Practitioners call this differentiation.

G1   means that the cell is well-differentiated, i.e. quite similar to a normal cell.

G4   means a poorly differentiated cell, i.e. a cell, that is significantly different from a normal cell.

 

Stages:

TX: Primary tumor cannot be assessed

T0: No evidence of primary tumor

Tis: Carcinoma in situ

T1: Tumor 2 cm or less in greatest dimension

T2: Tumor more than 2 cm but not more than 5 cm in greatest dimension

T3: Tumor more than 5 cm in greatest dimension

T4: Tumor of any size that invades adjacent organ(s), e.g., vagina, urethra, bladder

BOOKS
Read more about anal carcinoma by reading a book.

What You Need to Know About Anal Cancer – It’s Your Life, Live It!

Clinical Gastroenterology: A Practical Problem-Based Approach

Gastrointestinal Malignancies: A Practical Guide on Treatment Techniques (Practical Guides in Radiation Oncology)

What are the allopathic therapy concepts?

Operation

Is employed in all stages and is certainly the first option. Unfortunately anal carcinomas infiltrate the musculature of the sphincter quite early so that an operation saving the sphincter is usually not possible. Moreover many men are impotent after anal operations.

For the reasons cited above you should always look for a physician, who is knowledgeable in the area cryosurgery. In this process the tumors are “frozen”  and often this can prevent more extensive operations. Often laser therapies are also used.

Anus praeter

Anus praeter is the medical term for an artificial intestinal exit (usually on the colon transversum). Here the distinction is made primarily between a temporary anus praeter or a permanent anus praeter. This intervention also demonstrates the significant impact an intestinal operation has on the remaining quality of life and why this impact must always be carefully considered. Particularly where sexuality is concerned a permanent anus praeter plays a drastically negative role for many people. Basically in this case it must be said that there are studies that confirm life extension through an operation. Particularly when removal of a large tumor is possible without anus praeter, then the operation should be taken into account when considering therapy.

If you must be operated on, then you should also consider a lectin blockade in the form of a D-galactose infusion for prevention of metastases (see also chapter: supporting substances).

Chemotherapy

For anal cancer usually chemotherapy is combined with radiation (RCT – Simultaneous Radio Chemotherapy) . Medications of choice are mitomycin C and 5-FU. Studies are cited again and again, (Allal 1993, Cummings 1991, Grabenbauser 1993, Panzer 1993), which maintain that you would live longer through these combination therapies, but a closer look again reveals only studies with different toxins have been compared, so that logically there must be a “winner” in the various categories. See Colon cancer for more information.

Irradiation

Radiation is used primarily for smaller tumors, in the hope that the operation can be kept to a minimum. Unfortunately the high quantity of radiation often destroys too much tissue, so that afterwards the operation is necessary anyway. For this reason many oncologists prefer internal irradiation with iridium, because here there are better study results showing that the complication rate is not so high.

Additional therapies like hormones, antibodies, etc.

Are listed under Colon cancer.

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