Snapshot A 42-year-old woman presents to her primary care physician for rectal bleeding. She cannot identify a clear cause to her symptoms. She has noticed it being associated with constant pain. She has a medical history of HIV and condyloma acuminatum. Physical examination is notable for a mass arising from the anus. Introduction Overview login to view 8 more bullets Epidemiology Risk factors login to view 6 more bullets ETIOLOGY Associated conditions login to view 2 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 1 more bullet IMAGING Sigmoidoscopy or anoscopy login to view 2 more bullets Differential Hemorrhoids login to view 2 more bullets Anal fissure login to view 3 more bullets Treatment Treatment is dependent on the stage of the malignancy Medical login to view 5 more bullets Surgical login to view 3 more bullets