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After someone is diagnosed with anal cancer, doctors will try to figure out if it has spread, and if so, how far. This process is called staging. The stage of a cancer describes how much cancer is in the body.
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Anal cancer is an abnormal growth of cells in or around the anus or anal canal, the short passage through which bowel movements pass. The most common type of cancer found in this location is believed to be related to a type of viral infection linked to causing other types of cancers as well. Anal cancers are usually treated with radiation and chemotherapy, but surgery alone may be useful for very small or early anal cancers or when other therapy is not an option or unsuccessful in treating the anal cancer.
At the level of the middle of the sacrum, the sigmoid colon loses its mesentery and gradually becomes the rectum, which, at the upper limit of the pelvic diaphragm, ends in the anal canal fig. The rectum, about 15 cm long, widens below as the ampulla, which is very distensible. Although variable in shape, the rectum follows the sacrococcygeal curve.
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation,  but with chronic fissures, pain intensity often reduces.
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The most common sites of metastases are liver and lung. We report a case of year-old male, who presented with diarrhoeal illness and an acutely tender protruding anal lesion initially thought to be thrombosed external hemorrhoid. Examination under anaesthesia revealed a hard and fixed mass at the level of dentate line, which was biopsied.