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Standard treatment for anal cancer stages i-iii usually involves a combined use of chemotherapy and radiation. Chemotherapy alone is the standard treatment for stage iv anal cancer, although radiation is sometimes used as well. Radiation for anal cancer (typically recurrent anal cancer) may focus on areas where the cancer has progressed. Anal cancer esmo-esso-estro clinical practice guidelines for diagnosis, treatment and follow-up r. radiotherapy for anal cancer has some short term side effects that usually start a week or so after the radiotherapy begins. They can gradually get worse during the treatment, but usually begin to improve 1 or 2 weeks after your treatment ends. Everyone is different and the side effects vary from person to person. anal cancer treatment options include radiation therapy, chemotherapy, andor surgery. Get detailed information about newly diagnosed and recurrent anal cancer including risk factors, symptoms, diagnosis, prognosis, and treatment in this expert-reviewed summary. Radiation oncologists need special equipment to give brachytherapy. As a result, it isnt available in all treatment centres and it isnt a standard treatment for anal cancer. Side effects can happen with any type of treatment for anal cancer, but everyones experience is different. the type of treatment your cancer care team will recommend depends on the type of anal cancer, where it is, and how far it has spread (the stage). Most experts agree that treatment in a clinical trial should be considered for anal cancer that has spread beyond the anus or if standard treatment isnt working. This way you can get the best treatment available now and may also get the treatments. Radiation therapy uses a beam of high-energy rays (or particles) to kill cancer cells or slow their growth. Radiation therapy can be used as part of the main treatment (along with chemotherapy) for most anal cancers (this is called chemoradiation.). Intensity-modulated radiation therapy (imrt) is the most common type of radiation for anal cancer. There are three types of standard treatment for anal cancer radiation therapya cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells.