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If the melanoma has spread too far to be removed completely, other treatments may be given. Only a very small portion of anal cancers are melanomas. When these tumors are found at an early stage, they are removed with surgery. If possible, the entire tumor is removed with surgery. Melanomas are far more common on the skin in other parts of the body.

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But because anal melanomas are hard to see, most are found at a later stage.

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If melanomas are found at an early stage before they have grown deeply into the skin or spread to lymph nodes they can be removed with surgery, and the outlook for long-term survival is very good. They're caused by infection with human papilloma virus HPV. These cancers look slightly different under a microscope, but they behave and are treated like other squamous cell carcinomas of the anal canal. Anal warts also called condylomas are growths that form just outside the anus and in the lower anal canal below the dentate line.

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