Case Report
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Anorectal malignant melanoma: A case report and treatment options

Year 2019, , 152 - 154, 01.12.2019
https://doi.org/10.25000/acem.641952

Abstract

Anorectal 
malignant  melanoma (AMM) is a
rare malignant disease with a poor prognosis. This disease is often confused
with hemorrhoids. The most common site of malignant melanoma  following skin and eye involvement is the
anorectal region. This is the most commonly involved site in the
gastrointestinal tract. We report the case of a 67-year-old patient with lower
gastrointestinal hemorrhage for 4 months and hemorrhoid treatment for 2 months.
The imaging revealed no distant metastasis but histopathologically, lymph node
metastasis and invasion of surrounding tissues. Laparoscopic abdominoperineal
resection (APR) was performed.

References

  • 1. Yap LB, Neary P. A comparison of wide local excision with abdominoperineal resection in anorectal melanoma. Melanoma Res. 2004;14:147-50.
  • 2. Meguerditchian AN, Meterissian SH, Dunn KB. Anorectal melanoma: diagnosis and treatment. Dis Colon Rectum. 2011;54:638-4.
  • 3. Damodaran O, Morgan A, Mendelsohn G. Primary malignant melanoma in the anorectum: an uncommon cancer. N Z Med J. 2008;121:66-8.
  • 4. Yeh JJ, Shia J, Hwu WJ, et al.The role of abdominoperineal resection as surgical therapy for anorectal melanoma. Ann Surg. 2006;244:1012-17.
  • 5. Thibault C, Sagar P, Nivatvongs S, Ilstrup DM, Wolff BG. Anorectal melanoma - an incurable disease. Dis Colon Rectum. 1997;40:661-8.
  • 6. Malik A, Hull T, Floruta C. What is the best surgical treatment for anorectal melanoma? Int J Colorectal Dis. 2004;19:121-23.
  • 7. Fazio VW, Church JM, Delaney CP. Current therapy in colon and rectal curgery. Second Edition. Philadelphia: Elsevier Mosby 2005;79-81.
  • 8. Pessaux P, Pocard M, Elias D, et al.Surgical management of primary anorectal melanoma. Br J Surg. 2004;91:1183-7.

Anorektal malign melanom: Bir olgu sunumu ve tedavi seçenekleri

Year 2019, , 152 - 154, 01.12.2019
https://doi.org/10.25000/acem.641952

Abstract

Anorektal  melanom 
( AMM )  ender  görülen, 
kötü  prognozlu  malign 
bir  hastalıktır.  Bu 
hastalık  sıklıkla  hemoroid 
ile  karışmaktadır.  Malign 
melanomanın  deri  ve 
göz  tutulumundan  sonra 
en  sık  görüldüğü 
bölge  anorektal  bölgedir. 
Bu  bölge  gastrointestinal  sistemde 
en  sık  olarak 
tutulan  bölgedir. Biz  67 
yaşında,  4  aydır 
makattan  kanama  şikayetleri 
olan, 2  aydır  da  hemoroid  tedavisi 
uygulanan  hastayı  sunduk. 
Yapılan  görüntülemelerde  hastanın 
uzak  metastazının  olmadığı 
ancak  histopatolojik  olarak 
lenf  nodu  metastazının 
ve  çevre  dokulara 
invazyonun  olduğu  izlendi. 
Hastaya  laparoskopik  abdominoperineal  rezeksiyon 
( APR )  yapıldı.

References

  • 1. Yap LB, Neary P. A comparison of wide local excision with abdominoperineal resection in anorectal melanoma. Melanoma Res. 2004;14:147-50.
  • 2. Meguerditchian AN, Meterissian SH, Dunn KB. Anorectal melanoma: diagnosis and treatment. Dis Colon Rectum. 2011;54:638-4.
  • 3. Damodaran O, Morgan A, Mendelsohn G. Primary malignant melanoma in the anorectum: an uncommon cancer. N Z Med J. 2008;121:66-8.
  • 4. Yeh JJ, Shia J, Hwu WJ, et al.The role of abdominoperineal resection as surgical therapy for anorectal melanoma. Ann Surg. 2006;244:1012-17.
  • 5. Thibault C, Sagar P, Nivatvongs S, Ilstrup DM, Wolff BG. Anorectal melanoma - an incurable disease. Dis Colon Rectum. 1997;40:661-8.
  • 6. Malik A, Hull T, Floruta C. What is the best surgical treatment for anorectal melanoma? Int J Colorectal Dis. 2004;19:121-23.
  • 7. Fazio VW, Church JM, Delaney CP. Current therapy in colon and rectal curgery. Second Edition. Philadelphia: Elsevier Mosby 2005;79-81.
  • 8. Pessaux P, Pocard M, Elias D, et al.Surgical management of primary anorectal melanoma. Br J Surg. 2004;91:1183-7.
There are 8 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Case Report
Authors

Hacı Hasan Abuoğlu This is me 0000-0002-2285-0685

Mehmet Gençtürk 0000-0002-6172-0736

Mehmet Kamil Yıldız This is me 0000-0003-2565-1208

Onur İlhan This is me 0000-0001-5369-5510

Mehmet Gülmez This is me 0000-0002-3782-6039

Kübra Kaytaz This is me 0000-0002-1898-3119

Selvinaz Özkara This is me 0000-0002-5931-3760

Publication Date December 1, 2019
Published in Issue Year 2019

Cite

Vancouver Abuoğlu HH, Gençtürk M, Yıldız MK, İlhan O, Gülmez M, Kaytaz K, Özkara S. Anorectal malignant melanoma: A case report and treatment options. Arch Clin Exp Med. 2019;4(3):152-4.