Dr. Lai is a staff physician in the general internal medicine department and Dr. Dowell is the chief of the hematology and oncology department, both at the Dallas VA Medical Center, Dallas, TX. In addition, Dr. Lai and Dr. Dowell are both assistant professors in the internal medicine department at the University of Texas Southwestern Medical Center at Dallas.
Many studies suggest a link between this type of leukemia and the development of additional primary malignancies, but an association with anal cancer has been largely overlooked.