Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Cerrahi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2019 |
| Yayımlandığı Sayı | Yıl 2019 |