[Results of treatment of anal cancer]

Symptoms, results of therapy as well as prognosis of carcinoma of the anal canal and anal margin are analyzed in 37 own patients, treated within 1977 and 1988. Most of the patients were between 55 and 75 years old. Women (n = 24) were twice as often afflicted as men. Bleedings and pain were the most frequent symptoms. At the end of this study 25 (71%) of the registered patients were still alive, 12 (34%) of them for more than 5 years. Different therapeutical procedures had been applied. Because of the own results the value of radical abdomino-perineal rectum amputation is stressed for invasive cancers, relapses and rest cancer after preceding adjuvant therapy. Multimodal treatment strategy with combined radiation-chemotherapy and individually adapted surgery is performed according to the literature. Valid results of the value of this procedure in our own patients however can not be given at the present time.