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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2024, Vol. 13 ›› Issue (06): 441-449. doi: 10.3877/cma.j.issn.2095-3224.2024.06.001

• Guideline and Consensus •     Next Articles

CACA guidelines for holistic integrative management of anal cancer (2024 Edition)

Anti-Cancer Association China, Committee of Colorectal Cancer CACA the   

  • Online:2024-12-25 Published:2025-01-06

Abstract:

CACA guidelines for holistic integrative management of anal cancer (2024 Edition) fully refers to the latest researches at home and abroad, integrates experts’ opinions in relevant fields and forms an updated version.Compared to the previous edition, the diagnostic flowchart now includes HPV testing.In internal medicine treatment, patients without active autoimmune diseases may consider pembrolizumab and nivolumab as second-line therapies for recurrent or metastatic anal squamous cell carcinoma.Immune therapy has been added to the treatment flowchart for metastatic diseases.In the traditional Chinese medicine section,the phrase “clinical diagnosis and treatment should be offered based on syndrome differentiation” has been adjusted to “adopting the combination of treatment based on disease differentiation and treatment based on syndrome differentiation”, with the clinical value of traditional Chinese medicine treatment in perioperative,chemotherapy, radiotherapy, follow-up, and palliative treatment periods newly added.In the pathology diagnosis section, the phrase “invasive carcinoma may be misdiagnosed as high-grade intraepithelial neoplasia or intramucosal carcinoma” has been revised to “invasive carcinoma may be diagnosed as highgrade intraepithelial neoplasia”.Additionally, psychological assessment for patients has been added to the stoma management section.

Key words: Anal canal, Guidelines, Surgical treatment, Internal medicine treatment, Radiotherapy, Traditional Chinese medicine treatment

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