Listen: Anal cancer is on the rise, especially in women
"So we're gonna talk about anal cancer. Okay. And the American Cancer Society estimates that we will have eighty three hundred new anal cancer cases this year in the two thousand nineteen and the majority of them women fifty five hundred women twenty seven seventy and men and the expect twelve hundred this year seven hundred sixty women five hundred twenty men now do anal cancer cases and rising for many years, and it is rare. I mean, I have to say it's rarer than others more rare younger individuals that we usually see these older adults the average age actually being in the early sixties, but they say the risk of being diagnosed with anal cancer. In your lifetime is about one in five hundred. And it can be treated so. There's been some suggestions on what we should maybe do to try to lessen these. So what's the number one risk factor of getting anal cancer? Well, the. So the. The human papillomavirus can cause a squamous cell cancer. And it could also cause cancer the throat it could also cause cancer of the penis. It could cause cancer of the cervix and we do vaccines for it. But HP is a group of about one hundred fifty related, viruses and the called papilloma viruses because the calls papilloma 's like warts. Subtypes, but the one most of the cause anal cancer is HP sixteen now other types can cause Ken awards. Ena works not cancer. The two types of HIV that caused the wards are HP six HP eleven. Most AIn awards do not develop into cancer. But they say people have had in awards are more likely to get anal cancer. Well, why well because if you've been infected with some HP subtypes, you might be more at risk of infecting of if you've got HP one way, then it just takes just as a matter of time that you might get HP again same way, but a different HP, basically get it from skin-to-skin contact. And so if somebody's warts or somebody's vaginal discharge or a wreath. Wreath touches, you you could then contracted. So it's very easy HP usually spread by sexual activity. Or seen a lot more throw cases for seen them mostly men and again access to HP. You could even spread it by your hands. Now HP is so common is probably the most common sexually transmitted disease out there, even though a lot of people don't have symptoms. In fact, I think committee is the number one diagnosed s but HP is the most common one out there. Well, that's why we have vaccines for now. Smoking puts you also at risk for cancer. HIV put you at risk. Certain gender and race ethnicity. They say African Americans younger than age sixty seems to be more common than women. But after sixty were common in women. So there was a article written slate where should man start getting Pap smears, anal peps. So the Pap smear was a we've talked about that develop for cervical cancer. Doctor Pap Nicolau was discovered it. So what he would do would collect a small samples of cells for the cervix examine the for stages and the structure to see who could be precancerous interesting when you look at these these cells, you could tell when one is starting no, turn vicious and start to change. And so just simple. Let's look at the cells under the microscope. Start seeing changes. And so we then start to do paps since we found out that we could identify cervical cancer so easily. We start to yearly we wouldn't even give birth control. Until you got your Pap smear. Things have changed to make things less expensive to have less procedures done on people and put people through possibly unnecessary tests. They decided to spread out when no pun intended when you get a Pap test. So now, you don't even have to get a Pap test to twenty one even if you're having sex as a fourteen year old I disagree with that. I think you should still be screened for today's I still think somebody should be giving you a talking about sex. But you could now wait till you're twenty one and have paps every three years. So. We do this to look for HP infection. Of the of the cervix. Now, I talked about a Pap smear of the throat years ago. Why aren't we check in the back of the throat if somebody performs a lot of oral sex, and it's in somebody who has had HPV why don't we screen them? And I believe some Dennis actually have in their office and oral HP test where you gargle and you spit into something. And then they could look to see if they could see HP that's something they can do. Now, just even avid said, we know that HP infect cells that line the anal canal the same as infect cells that line the service that he's a physician specialize in an infectious disease in Whitman Walker health, and they offer comprehensive health and wellness services to LGBTQ people throughout the DC area. And you do have increase in editor sexual homosexual activity when it comes to anal sex that seems to be a very very common. Celli say addition to the repertoire that people have. Whereas decades ago some people really want to go there or they wanna talk about going there. Now, people are very very open about that. So there's then unfortunately, more there's a whole nother now orifice that needs to be looked at an unfortunately could be ignored. You don't want to ignore the. Now, the rectum and we've talked about was not specifically designed to take the pressures of sex. That's why some people get tearing some people get a fissures things like that. And so could unfortunately introduce a lot more vaccinia pathogens STD's? So why are we ignore it? When it comes to HP. So Howard Brown health, which serves LGBTQ patients at numerous locations in Chicago has the decision to screen certain subgroups of patients because they believe that early detection of anal cancer precancerous areas of potentially circumvent greater vity and mortality now. It's actually that difficult man. Lies on his side. It's not as bad as woman getting Pap smear LES on his side. They take a little swab inserted a couple centimeters into the anus rotates. And then take take the swab out throw it into the container into the solution that then the fix that then gets into the lap. So it's a lot quicker than a passer. Now, some of you have been, you know, asking what are symptoms of colon cancer or colorectal cancer or anal cancer? Sometimes not sometimes you get some bleeding when you wipe now. Lot of you guys get blood when you wipe, and if that happens you've got to see. Dr. And you'll say, oh, well, no, I just have some hemorrhoids. Okay. Can make you bleed. Absolutely. Then the question is why did you give birth? Are. You a truck driver. Are you constipated? So there's a reason. Well, now, let me ask you. Why are you constipated? My diet. Maybe you're constipated because you have a mass in there, and you have to keep pushing the stool around that mass. And that's why you're constipated, and that's. So just because you think you have a reason for a symptom. You have which we all try and do and search for don't wanna panic west of the doctor if you have constipation if you have him rights, if you have blood on your toilet paper, you've got to get that checked out. I'm not saying it's not saying you have rental cancer. But it's. You can't blow off something as simple symptom because there may be something on this"