Anal Cancer

I was in the shower cleaning myself when I found a small pea sized hard lump. I googled and top ones were. Warts, Piles and Cancer.

i have had piles a long time ago and it doesn't appear to be the same. I have never had warts but after looking at images it’s nothing like that.

the cancer ones I have quiet a few of the symptoms but not all of them and it’s only one small lump. It’s the fact it’s a lump in the anus that is mortifying I know I’m an adult but I’m not sure how to call a doctor to explain this without the embarrassment. I’m also a teacher that makes arranging and and attending appointments hard without having to ask for the time off. Do I lie or go through the embarrassment of explaining it. I have recently lost my mum to cancer and this has really shook me 

  • Hi Phonixe and thank you for your post.

    It is always best to be safe and get anything that is causing you concern checked out. Unfortunately, the only way to do this is to make an appointment with your GP to be examined.

    I do understand that this can feel embarrassing because of where the lump is but GPs are quite used to doing examinations of the anal and rectal area and they will do everything they can to make you comfortable. But if it is something serious then they can refer you for any necessary tests as soon as possible.

    When you make the appointment, it is best to let them know that you will need an examination for a lump, so that it is ensured that you are given a face-to-face appointment rather than a telephone appointment. A lot of GP surgeries may offer evening appointments as well, so do ask if this is a possibility.

    Take care Phonixe, I hope this gets sorted for you soon.

    All the best

    Jemma

  • Hi thank you so much form your response. I called today and was giving a telephone appointment Dr said it sounded more like piles than anything to worry about. I have never known this to cause a lump but she will know better than me I guess.  I have been given medication and if lump still there in 2 weeks I will get a face to face appointment. I did the mistake of Google search and Becouse I had most of the symptoms I panicked.

    thanks again 

  • I hope you're OK but please do get it properly checked out as the exactly the same thing happened to me and after 3 biopsies and a partial removal they finally diagnosed a 3 cm tumour. I'm now about to undergo chemo and radio therapy but it seems to have taken ages to get this far. The good news however that doctors are confident it can be totally cured. Be strong and don't be 'fobbed off' by anyone.

  • Very common, I unfortunately get them after giving birth to my daughter 4 years ago. They do eventually go on their own, or, you can get cream for them. If they don’t disappear/get smaller after a few weeks you can go back to your GP and they can advise/refer you for treatment.

  • Hi, please get checked out. I was ill with stress which aggravated my IBS. Then I had a rectal haemorrhage and tried haemorrhoid cream. Long story short. Rectal exam alerted the GP she listed me for urgent colonoscopy, 8 biopsies later, I had to have a stoma as a large tumour blocked my anus. I’ve had chemotherapy and radiotherapy now awaiting results whilst recovering from treatment- if I’d gone sooner they may have found it when is was small enough to remove. I thought it was my IBS so don’t know how long or which was symptoms but if in doubt go get it properly checked out. Trust me I was embarrassed and terrified of having my bum probed but the simple truth is health& life is more important than a few seconds embarrassing discomfort! 
    good luck.

  • I couldnt agree more. Fortunately I found my anal growth when it was less than 3cm and surgeon managed to remove most of it.  I'm now about to undergo 28 sessions of chemo and radio therapy which hopefully should kill off the remainder.

  • Mine was too large, inoperable they said, but I had 30 sessions of chemoradiation, which caused me a lot more damage than I expected and I’ve just had my post treatment scans. Waiting now for resu and whether I need surgery and if that’s the case if I can then have my stoma reversed, trying to stay grateful and positive and not worry about the unknown, but it’s not always as easily done as . Good luck with your chemoradiation think positively that any remaining cells be zapped

  • Offline in reply to BB60

    I'm in the middle of 28 sessions of chemoradiotherapy and suffering from what feel like third degree burns!   The creams I have been given don't seem to help much.   Has anyone got any tips to cope with the discomfort and pain? 

  • Offline in reply to Lambow

    I spent a lot of time laid in bed so that I could be naked, clothes can make it worse. I also took daily salt baths and still do (Dead Sea salt). During treatment I used integra honeymed cream morning and night and during the day I used drapoline after ever visit to the loo. After treatment they will give you a cream to use (flamazine) which has silver sulphadiazine to treat the burns and I used that for 5 weeks after and have now gone back to honeymed and drapoline which is important for healing but I also take regular pain meds and oramorph to assist with the pain and soreness. I hope this helps but please ask if there is anything else. I’m female, it’s very different for men due to clear differences in anatomy, but both will require regular pain meds for sure.

  • Dear Lambow and thanks for your post

    I'm sorry your skin has become so sore with your radiotherapy treatment. 

    The general advice is to use moisturiser applying it gently as long as the skin isn't broken, but if an area of skin breaks down to stop moisturising in that particular area and get some advice about which sort of dressing to use to cover the raw area of skin.

    You need to let the radiotherapy team know that the creams you've been given are not working and see what their advice is.

    A couple of years ago the Society of Radiographers updated their guidelines for patients and professionals about skin care during radiotherapy so I think these are the best place to look for online advice. You can download and read their patient leaflet by clicking at this link.

    I presume you are coming to the end of your radiotherapy treatment. I'm sure you know, it can take a few weeks after stopping radiotherapy for the skin to start to settle down. I hope this happens soon. 

    Please give us a call if you want to talk anything over. Our number is Freephone 0808 800 4040 and we are here weekdays 9-5. 

    Best wishes,

    Celene