These patients present with pain and bleeding as the most common symptoms. The patient may also have a mass, perineal itching or discharge from the anus.

After a thorough clinical examination, a biopsy of the presenting lesion is taken. Once the biopsy confirms the diagnosis of cancer, further investigations are done to assess the extent of spread of the disease. These include CT Scan, MRI and PET Scan as necessary.

The treatment would depend on the extent of the disease and include a judicious combination of chemotherapy, radiotherapy, and surgery.