Present and Future Research on Anal Squamous Cell Carcinoma

Laurie Spehner1,2, Jihane Boustani3, Luc Cabel4

  • 1Interactions Greffon-Hôte-Tumeur/Ingénierie Cellulaire et Génique Research Unit INSERM UMR1098, University of Bourgogne Franche-Comté, 25020 Besançon, France.

Cancers
|August 7, 2021
PubMed

Insights

Advances in anal squamous cell carcinoma treatment are emerging, with new chemotherapy, immunotherapy, and HPV ctDNA biomarkers improving prognosis and guiding treatment strategies for this rare cancer.

Area of Science:

  • Oncology
  • Cancer Research

Background:

  • Anal squamous cell carcinoma (aSCC) is a rare cancer with limited treatment advancements over the past three decades.
  • The majority of aSCC cases are associated with HPV genotype 16.

Purpose of the Study:

  • To summarize recent progress and future directions in the treatment and understanding of anal squamous cell carcinoma.
  • To highlight the impact of novel therapeutic strategies and biomarkers in managing this orphan disease.

Main Methods:

  • Review of ongoing clinical trials investigating combination therapies for localized and advanced aSCC.
  • Discussion of the role of emerging biomarkers, such as HPV circulating tumor DNA (ctDNA), in prognostic assessment and treatment guidance.

Main Results:

  • Significant momentum in aSCC research driven by taxane-based chemotherapy and immunotherapy.
  • Approximately 20 clinical trials are evaluating anti-PD1/L1 combinations with radiotherapy, chemotherapy, vaccines, and other targeted agents.
  • HPV ctDNA liquid biopsy shows high sensitivity and specificity for improved prognostic measurement and treatment strategy guidance.

Conclusions:

  • The landscape of anal squamous cell carcinoma treatment is rapidly evolving with new therapeutic options.
  • Emerging biomarkers like HPV ctDNA are crucial for personalized medicine approaches in aSCC.
  • Continued research into potential molecular targets is essential for future clinical advancements in HPV-related aSCC.