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Diagnosis and staging

A 48 years old male with a 4cm anal mass.

Biopsy: Squamous cell carcinoma.

Positive HPV 16 and HPV 53. HIV test:Negative

MRI: mass 3.6 cm. No involvement of external sphincter. No

enlarged inguinal or pelvic lymph nodes detected.

CT scan/PET scan: No metastases.

Squamous cell carcinoma of the anal

canal

cT2 cN0M0. Stage II.