Anal Cancer
When you’re a patient at Providence, we don’t just treat your anal cancer – we treat you. We use the most advanced treatments to create a highly personalized care plan. We also support you and your loved ones with a full range of services throughout your entire cancer journey. The result is effective, whole-person care for the body, mind and spirit.
Why Choose Us for Anal Cancer Care?
At Providence, we see the life in you. Together, let’s finish cancer – so you don’t have to miss any of life’s special moments.
About Anal Cancer
Anal cancer is a form of gastrointestinal cancer that occurs when cancer cells form in the anus or anal canal. It is more common in people over 50 but can occur at any age. The expert oncology teams at Providence use the most effective therapies to treat patients with every type of anal cancer and its related conditions.
Testing and Diagnostics
Diagnostic tools help our cancer clinicians determine which therapies will work best for each patient, based on many factors such as cancer type and the genetic or molecular profile of the tumor. Your doctors will use multiple advanced diagnostic and prognostic tools to help design your individualized treatment plan. Depending on your case, this may include one or more of the following:
- Biopsy
- Fine needle aspiration (FNA) biopsy
- Genetics and genomics
- MRI
- Pathology
- PET/CT scan
Personalized Treatment for Anal Cancer
We take a team approach to your anal cancer treatment because we know this offers the best success in controlling and curing cancer. Your multidisciplinary cancer care team will work with you to design an individualized cancer care plan, from diagnosis to post-treatment support. We offer many different therapies across our Providence locations. Depending on your condition, your personal care plan may include one or more of the following:
Systemic therapies travel through the bloodstream and affect cells in other body parts. They are used for patients whose cancer has spread to other areas of the body or if there’s a high risk of spread. Sophisticated genetic analysis allows us to target therapies to specific DNA mutations that cause cancer cells to develop and grow. Systemic therapies include:
Biomarker and genomic clinical trials (NCI-MATCH and TAPUR) are a group of research clinical trials involving patients with tumors that contain specific genetic mutations. These patients receive drugs directed toward their specific mutation, regardless of the type of cancer they have.
Participants in clinical trials may receive treatments not yet available to everyone. They also receive extra follow-up care in addition to their standard care. Taking part in the search for new and better cancer treatments can be personally satisfying, as participants become part of the advancement of medicine.
Every clinical trial has inclusion and exclusion restrictions that a patient must meet before enrolling in the trial. Before you decide to take part, doctors and clinical trial coordinators tell you all the known risks.
Cooperative group (NCTN) clinical trials are studies designed by a consortium of leading national cancer researchers. The goal of these studies is to test the newest and most cutting-edge innovations.
Participants in clinical trials may receive treatments not yet available to everyone. They also receive extra follow-up care in addition to their standard care. Taking part in the search for new and better cancer treatments can be personally satisfying, as participants become part of the advancement of medicine.
Every clinical trial has inclusion and exclusion restrictions that a patient must meet before enrolling in the trial. Before you decide to take part, doctors and clinical trial coordinators tell you all the known risks.
Chemoradiotherapy combines the use of chemotherapy and radiation at the same time. When given together, the two treatments are more effective than when given in sequence. This approach is often used when a cancer is advanced but has not spread to distant parts of the body and therefore may respond to more intense therapy.
Chemotherapy is the systemic use of cytotoxic chemicals to kill cancer cells. Today there are many medications (e.g., biological medications, immune treatments, targeted therapies) that do not fit the classic definition of chemotherapy yet are often included in this category.
Immunotherapy uses drugs to allow the body’s own immune system to more effectively find and destroy cancer cells.
Surgical therapies involve an operation or procedure to remove cancer from the body. Surgery may be the main treatment for some invasive cancers, but it’s only one part of the entire treatment plan. Surgical therapies include:
Robotic abdominal perineal resection is an advanced, video camera-assisted surgery to remove the rectum, anus and parts of the lower intestines.
Radiation therapy uses high-energy radiation from a source like X-rays or photons to kill cancer cells or shrink tumors. It may be part of a treatment plan that also includes systemic therapies and/or surgery. Radiation is sometimes used to help ease a patient’s pain or discomfort. Radiation therapies include:
Intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) are advanced types of radiation therapies. IMRT uses advanced technology to manipulate the radiation beams to conform to the shape of a tumor. VMAT is a subtype of IMRT in which the machine actively delivers radiation beams while moving in an arc around the patient.
This method of radiation delivery offers next-generation capabilities. The arc-based therapy provided via VMAT delivers high doses of radiation to more focused areas, reducing side effects and the overall treatment time for the patient. This treatment is particularly effective at treating several types of cancer while at the same time reducing toxicity and harm to vital organs.
This procedure is one of several new ways to deliver radiation therapy. It requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.
Radiopharmaceuticals (Y-90) is a group of treatments delivered by a catheter and consisting of millions of microscopic, radioactive microspheres that are infused into the arteries that feed the tumor. Y-90 microspheres are delivered into the arteries and can be used to treat cancer that has spread, or metastasized, to the liver. These particles become embedded into the cancer cells and deliver the radiation directly to the cancer site. Two commonly used agents are Theraspheres and Sir Spheres.
The advantage of this treatment is that the radiation penetrates only a short distance, so the risk to the organ is very low while the dose the cancer experiences is very high.
This procedure is one of several new ways to deliver radiation therapy directly into the tumor site. It requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.
Stereotactic radiation (SABR/SBRT) is a group of treatments that includes stereotactic body radiation therapy (SBRT) and stereotactic ablative radiation (SABR) – both of which are adaptations of stereotactic radiosurgery (SRS) – for the treatment of targets in the body, but outside the brain. Similar to SRS, these techniques deliver very high doses of radiation using sophisticated motion management and patient immobilization techniques.
The number of radiation treatments is minimal and may range from one to five treatments delivered over one to two weeks.
This procedure is one of several new ways to deliver radiation therapy. It requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.
Surface-guided radiation therapy (SGRT/SIGRT) is an approach to radiation targeting that offers real-time beam guidance from face and body surface-recognition systems.
This treatment is particularly effective at treating several types of cancer while at the same time reducing toxicity and harm to vital organs, thus minimizing side effects.
This advanced procedure requires a sophisticated facility and equipment, along with highly specialized physicians. It is available at some Providence locations.
Three-dimensional conformal radiation therapy (3DCRT) is a radiation planning and treatment technique in which three-dimensional (3D) imaging enables improved targeting for radiation treatment. 3D planning with CT imaging makes radiation treatment much more conformal, or tailored to the target.
Additional therapies may also be part of the treatment plan for a small number of patients. These may include:
Interventional radiology is an invasive procedure guided by radiologic imaging. This approach may be used to implant a port, or vascular access device, in order to obtain diagnostic material, remove fluid from the chest or abdomen, or deliver treatment locally.
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Accreditations
We are proud to see our dedication to our cancer patients recognized by some of the most well-respected programs and institutions in the United States. Providence Cancer Institute’s Rectal Cancer Program is among the first 25 in the nation and the first in the Pacific Northwest to earn accreditation from the National Accreditation Program for Rectal Cancer. Several of our Providence locations have achieved these accreditations:
- Accountable Care Organizations (ACO) Accreditation – National Committee for Quality Assurance (NCQA)
- American College of Radiology (ACR) Accreditation
- Accreditation Program for Excellence (APEx) – American Society of Radiation Oncology (ASTRO)
- Commission on Cancer (CoC) Accreditation – American College of Surgeons (ACS)
- Integrated Network Cancer Program (INCP) – American College of Surgeons (ACS)
- National Accreditation Program for Rectal Cancer Programs – American College of Surgeons (ACS)
- Quality Oncology Practice Initiative (QOPI) Certification – American Society of Clinical Oncology (ASCO)
Meet the Team
At Providence, you'll have access to a vast network of dedicated and compassionate providers who offer personalized care by focusing on treatment, prevention and health education.
Find Clinical Trials
Are you looking for a clinical trial for yourself or for a patient? We’d love to help you find one!