A 43-year-old woman presents with complaints of anal pain and spotting of blood with defecation. Physical examination reveals a 2 3 cm area of ulceration within the anal canal. The remainder of the physical examination is normal. Incisional biopsy is positive for squamous cell carcinoma. Appropriate management includes which of the following?
A. Abdominoperineal resection
B. Wide local excision, skin grafting, proximal diverting colostomy
C. Primary radiation therapy
D. Local excision and primary closure
Answer:C
A 43-year-old woman presents with complaints of anal pain and spotting of blood with defecation. Physical examination reveals a 2 3 cm area of ulceration within the anal canal. The remainder of the physical examination is normal. Incisional biopsy is positive for squamous cell carcinoma. Appropriate management includes which of the following?
A. Abdominoperineal resection B. Wide local excision, skin grafting, proximal diverting colostomy C. Primary radiation therapy D. Local excision and primary closure