KEGG   DISEASE: Cancer of the anal canal
Entry
H00044                      Disease                                
Name
Cancer of the anal canal
Description
Squamous cell carcinoma of the anal canal accounts for 1.5 per cent of all digestive system cancers in the USA, with an estimated 4,660 new cases and 660 deaths in 2006. Epidemiological and molecular-biology studies have now shown that sexually transmitted infection with human papillomavirus (HPV) is the most important aetiological agent. Human immunodeficiency virus (HIV) infection is also associated with anal cancer. HPV infection is transient in most immunocompetent individuals, but HIV-positive patients have evidence of persistent HPV infection within the anal canal. Current data suggest that mutations in p53, DCC and APC tumor suppressor genes contribute to the stepwise progression of anal squamous cell carcinoma in immunocompetent individuals.
Category
Cancer
Brite
Human diseases in ICD-11 classification [BR:br08403]
 02 Neoplasms
  Malignant neoplasms, except primary neoplasms of lymphoid, haematopoietic, central nervous system or related tissues
   Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic, central nervous system or related tissues
    Malignant neoplasms of digestive organs
     Malignant neoplasms of intestine
      2C00  Malignant neoplasms of anus or anal canal
       H00044  Cancer of the anal canal
Pathway
hsa05165  Human papillomavirus infection
Gene
p53 (mutation) [HSA:7157] [KO:K04451]
DCC (mutation) [HSA:1630] [KO:K06765]
APC (mutation) [HSA:324] [KO:K02085]
Pathogen
Human papillomavirus type 16 [GN:T40087]
Human papillomavirus type 18 [GN:T40088]
Drug
Recombinant adsorbed quadrivalent human papillomavirus virus-like particle vaccine [DR:D10192]
Human papillomavirus 9-valent vaccine, recombinant [DR:D11863]
Other DBs
ICD-11: 2C00
ICD-10: C21
MeSH: D001005
Reference
  Authors
Gervaz P, Hirschel B, Morel P.
  Title
Molecular biology of squamous cell carcinoma of the anus.
  Journal
Br J Surg 93:531-8 (2006)
DOI:10.1002/bjs.5376
Reference
  Authors
Gervaz P, Allal AS, Villiger P, Buhler L, Morel P.
  Title
Squamous cell carcinoma of the anus: another sexually transmitted disease.
  Journal
Swiss Med Wkly 133:353-9 (2003)
Reference
  Authors
Severson J, Evans TY, Lee P, Chan T, Arany I, Tyring SK.
  Title
Human papillomavirus infections: epidemiology, pathogenesis, and therapy.
  Journal
J Cutan Med Surg 5:43-60 (2001)
DOI:10.1177/120347540100500110
Reference
PMID:1311142
  Authors
Daling JR, Sherman KJ, Hislop TG, Maden C, Mandelson MT, Beckmann AM, Weiss NS.
  Title
Cigarette smoking and the risk of anogenital cancer.
  Journal
Am J Epidemiol 135:180-9 (1992)
DOI:10.1093/oxfordjournals.aje.a116270
Reference
  Authors
Owens SR, Greenson JK.
  Title
Immunohistochemical staining for p63 is useful in the diagnosis of anal squamous cell carcinomas.
  Journal
Am J Surg Pathol 31:285-90 (2007)
DOI:10.1097/01.pas.0000213362.10756.d3
Reference
PMID:9372374
  Authors
Indinnimeo M, Reale MG, Cicchini C, Stazi A, Fiori E, Izzo P.
  Title
CEA, TPA, CA 19-9, SCC and CYFRA at diagnosis and in the follow-up of anal canal tumors.
  Journal
Int Surg 82:275-9 (1997)

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