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It may also present as a mass, nonhealing ulcer, itching, discharge, fecal incontinence and fistulae. The patient started chemoradiation with complete response and symptom remission. Keywords: Anal canal, Anus neoplasms, Chronic disease, Fissure in ano. Additionally, patient 3 was a smoker and has a previous cervical abnormality, which could account for an increased SCCA risk. Squamous cell carcinoma of the anus SCCA commonly presents with bleeding and anal pain [ 3 ].

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Kaelyn. Age: 24.
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Other less common anal cancers include adenocarcinomas, small cell carcinoma, undifferentiated cancers, and melanomas [ 3 ].

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Jasmin. Age: 28.
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Digital rectal examination detected a depressed hard area in the anal canal with blood on the glove, despite a normal anus appearance. Histologic examination established the diagnosis of SCCA. Abdominal tomography excluded distant metastasis T2N1M0. Statement of Ethics This study did not require informed consent nor approval by the appropriate ethics committee.

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