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The **anal mucosa** is the epithelial lining inside the anal canal, with distinct upper (columnar or transitional) and lower (anodermal/cutaneous) zones, while the **perianal mucosa** refers to the skin and mucus membrane surrounding the anus[3][5]. These tissues serve as critical barriers for continence, lubricate stool passage, and have a protective immunological role[3][7]. Anatomically, they include various glands, sensory nerve endings, and a transition from gastrointestinal mucosa to normal skin. Disruption or disease of these tissues can result in significant morbidity, including infections (e.g., abscess, fistula), malignancy, and functional disorders such as incontinence[6][3][7].
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