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Epidermoid anal cancer is a rare disease requiring a specialist multidisciplinary team approach for optimum results. Anal cancer is strongly associated with human papilloma virus HPV infection. Other important risk factors include human immunodeficiency virus HIVimmune suppression in transplant recipients and cigarette smoking. Herpes simplex virus HSV may play a secondary role in disease progression. Dietary habits, chronic inflammatory diseases and the presence of haemorrhoids do asco anal cancer follow-up
appear to predispose to epidermoid anal cancer. Previous gynaecological, lymphoma or leukemia or subsequent e.