Anal Cancer
Conditions
Keywords
Anal cancer, Squamous cell cancer, Radiotherapy, Chemoradiotherapy, Conformational radiotherapy, Intensity modulated radiation therapy, IMRT
Brief summary
Anal cancer is treated with chemoradiotherapy- combined chemotherapy and radiotherapy. This is very successful (75% long term survival). During the course of the radiotherapy, other organs in the pelvis may be damaged. This can lead to long-term problems with possible changes to the skin, bowels with diarrhoea and incontinence problems, bladder shrinkage and incontinence of urine, sexual problems including impotence and ejaculatory problems, or pain during sexual intercourse with vaginal dryness and shrinkage. Patients should be offered help with these side effects. At present, there is very little information on the effect treatment has on a patient's quality of life, making it difficult to judge if new treatment methods are better. This project will measure quality of life from the patient's perspective after treatment for anal cancer. It will also gather preliminary data on quality of life after the introduction of a new technique for more precise 3D-targeting of radiotherapy beams at the cancer, called IMRT.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Participant is willing and able to give informed consent for participation in the study. * Male or Female, aged 18 years or above. * Squamous cell or basaloid carcinoma of the anal canal
Exclusion criteria
* adenocarcinoma, melanoma, lymphoma, sarcoma or other malignancy of anal canal * Any synchronous or metanchronous pelvic malignancy of non-anal origin (eg. prostatic, genital tract) * unable to complete questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional quality of life after chemoradiotherapy for anal cancer | 3 years | Quality of life measured using: General * EORTC (European Organisation for Research and Treatment of Cancer) QLQ-C30 Disease specific * EORTC QLQ-CR29 * Vaizey incontinence score * MOS (Medical Outcomes Survey) sexual questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient-reported treatment-related toxicity after chemoradiotherapy for anal cancer | 3 years | Patient-reported treatment related toxicity measured with: * Common Terminology Criteria for Adverse Events (CTCAE version 3) * Pelvis questionnaire male & female (LENT/SOMA) (LENT/SOMA: see Barraclough LH et al. Radiother Oncol; 103:327-32) |
Countries
United Kingdom