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Words to know: Anal cancer

Anus
The opening at the end of the bowel where stool leaves the body.
Anal canal
The short tube that connects the rectum to the anus.
HPV (human papillomavirus)
A common virus spread by skin contact during sex. Long-lasting infection causes most anal cancers.
Squamous cell carcinoma
Cancer that starts in flat cells lining the anal canal. The most common type of anal cancer.
HSIL
High-grade squamous intraepithelial lesion. Precancer cells that could turn into cancer over time.
Anoscopy
A look inside the anus with a short lighted tube.
High-resolution anoscopy
A closer look at the anal lining with a magnifying scope, used to find precancer.
Biopsy
Taking a small piece of tissue to look at under a microscope.
Lymph nodes
Small bean-shaped glands that help fight infection. Anal cancer can spread to those in the groin and pelvis.
Stage
A measure of how big the cancer is and how far it has spread.
Chemoradiation
Chemotherapy and radiation given during the same weeks.
Mitomycin
A chemotherapy drug given with fluorouracil and radiation for anal cancer.
Fluorouracil (5-FU)
A chemotherapy drug often given through a small portable pump over several days.
Capecitabine
A chemotherapy pill that turns into fluorouracil in the body.
IMRT
Intensity-modulated radiation therapy. Radiation shaped closely to the tumor to protect healthy tissue.
Complete clinical response
When exams and scans no longer show any cancer after treatment.
Abdominoperineal resection (APR)
Surgery that removes the anus and rectum, leaving a permanent colostomy.
Colostomy
An opening in the belly where stool leaves the body into a bag.
Sitz bath
Sitting in a few inches of warm water to soothe and clean the anal area.
Immunotherapy
Medicine that helps your immune system find and attack cancer.
Retifanlimab
An immunotherapy drug approved for advanced anal cancer.
Metastatic
Cancer that has spread to distant parts of the body.
Vaginal dilator
A smooth tube used after pelvic radiation to keep the vagina from narrowing.
CD4 count
A blood test that measures immune cells in people living with HIV.

Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.