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She had brought her toddler to the emergency room because she was awakening in the night and scratching her bottom and complaining of rectal itch. Squamous cell carcinomas of the anal margin perianal skin are treated much like squamous cell carcinomas of the skin elsewhere. But do the best you can and take advantage of the opportunity to motivate your children to improve their hygiene. Wash bath towels and washcloths after each use. Spread the butt cheeks and get a good look at the anus. For more on this, see Skin Cancer: The inner lining of the anal canal is the mucosa.

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