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Published on: April 20, 2018
Squamous Cell Anal Carcinoma: Current Therapeutic Approaches
Valentina Zen1, Francesca Bof2, Rossana Intini3
1Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.; Section of Innovation Biomedicine-Oncology Area, Department of Engineering for Innovation. Medicine, University of Verona and University and Hospital Trust (AOUI) of Verona, Verona, Italy.
Anal squamous cell carcinoma (SCAC) is rising due to HPV. Early-stage SCAC is treated with chemoradiotherapy, while advanced SCAC now includes immunotherapy with retifanlimab.
Area of Science:
- Oncology
- Virology
Background:
- Anal squamous cell carcinoma (SCAC) is a rare but increasing malignancy.
- Human papillomavirus (HPV) is the primary cause of SCAC.
- Immunosuppression increases susceptibility to SCAC.
Purpose of the Study:
- To summarize current understanding and treatment of SCAC.
- To highlight advancements in managing localized and metastatic disease.
- To outline future research directions in SCAC.
Main Methods:
- Review of current literature on SCAC epidemiology, etiology, and treatment.
- Analysis of standard-of-care protocols for localized and metastatic SCAC.
- Discussion of emerging therapies, including HPV-targeted strategies and immunotherapies.
Main Results:
- Concurrent chemoradiotherapy is the standard for localized SCAC, yielding high survival rates.
- Systemic therapy, particularly platinum-based chemotherapy, is used for metastatic SCAC.
- Carboplatin, paclitaxel, and retifanlimab (anti-PD1) combination is a new standard for advanced SCAC.
Conclusions:
- HPV vaccination and HSIL treatment reduce SCAC risk.
- Advances in systemic therapy and immunotherapy are improving outcomes for advanced SCAC.
- Ongoing research in HPV-targeting and novel immunotherapies offers future treatment potential.
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