I am a 92 years old male and I have a pacemaker installed. I am diabetic and in good control through lifestyle management. Following is a biopy report of myself.

BIOPSY MEDIUM: Excised rectal/ Anal tissue.

GROSS EXAMINATION: 2 pieces of greyish brown tissues measuring 0.7 X 0.7cm Whole processed.

MICROSCOPIC EXAMINATION: Section of one piece shows features of moderately differentiated non-keratinizing squamous cell carcinoma. The other piece shows unremarkable rectal mucosa with focal tumour infiltration.

IMPRESSION: Excised rectal/ anal tissue. Moderately differenciated non keratinizing squamoy cell carcinoma.

Please provide information whether any treatment is available for the above mentioned condition. If available then which of the following is the suitable treatment . CHEMOTHERAPY, RADIOTHERAPY OR SURGERY.

THANK YOU.