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Because anal itching can also be a symptom of the cancer, many people initially attribute their bleeding and itching to hemorrhoids. How Is Anal Cancer Diagnosed. Anal cancer can be detected during a routine digital rectal exam or during a minor procedure, such as removal of what is believed to be a hemorrhoid.
The cancer may also be found with more invasive procedures such as an anoscopy, proctoscopy, or endorectal ultrasound. If cancer is suspected, a biopsy will be done and will be examined by a pathologist.