Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and others. Ischiorectal, inter- and intrasphincteric abscesses have been described. Anorectal abscesses are classified according to their anatomic location and the following are the most common types; Perianal abscess, Ischiorectal abscess, Intersphincteric abscess and Supralevator abscess. Ischiorectal abscess is formed when suppuration transverses the external anal sphincter into the ischiorectal space. Intersphincteric abscess results from suppuration contained between the internal and external anal sphincters. Supralevator abscess forms from cephalad extension of the intersphincteric abscess above the levator ani or from caudal extension of a suppurative abdominal process like appendicitis, diverticular or gynaecologic sepsis.
Your doctor considers a number of factors when deciding which treatment you need. Find out how they make the decision and the types of treatment you might have. A team of doctors and other professionals discuss the best treatment and care for you. They are called a multidisciplinary team MDT. Chemotherapy uses anti cancer cytotoxic drugs to destroy cancer cells.
If you have anal cancer, your healthcare team will create a treatment plan just for you. It will be based on your needs and specific information about the cancer. When deciding which treatments to offer for anal cancer, your healthcare team will consider: the stage of the cancer the size and location of the tumour your general health your personal preferences. Chemoradiation is the main treatment for most anal cancers.
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