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At first, most people assume the bleeding is caused by hemorrhoids (painful, swollen veins in the anus and rectum that may bleed). If caught early, anal cancer is highly treatable - with high survival rates. Read more from webmd about anal cancer, including symptoms and treatments. The symptoms of anal cancer are often similar to more common and less serious conditions affecting the anus, such as piles (haemorrhoids) and small tears or sores called anal fissures. Anal cancer is rare and more likely to affect women than men. About 25 percent of people diagnosed with anal cancer never experience any symptoms, while others experience a variety. In some cases, symptoms do not appear until the cancer has spread. Early detection of anal cancer is common because these tumors develop in a part of the digestive tract that doctors are able to see and reach. Symptoms of early-stage anal cancer often prompt patients to visit their doctor, though not everyone experiences symptoms. More than half of patients with anal cancer experience rectal bleeding, which is often the first indication of the disease. Symptoms of anal cancer can include bleeding, bowel changes and severe itching (pruritus). A big problem is that anal cancer can grow in persons body, without causing any symptoms or can look like hemorrhoids and irritable bowel syndrome. Rectal bleeding nearly 80 of patients with anal cancer have this symptom. Anal cancer is a rare form of cancer that affects the tissues of the anus. We explain what you need to know about its causes and how its diagnosed.