Primary rectal melanoma - a case report

  • Somak Das Surgical Gastroenterology Apollo Hospital, Chennai, Tamilnadu
  • Tuhin S. Mandal Department of General Surgery, NRS Medical College, Kolkata
  • Souvik Paul Department of General Surgery, Calcutta Medical College, Kolkata
  • Purnendu Datta Department of General Surgery, Burdwan Medical College, Kolkata
  • Aloke K. Sinhababu Institute of Postgraduate Medical Education & Research, Kolkata
DOI: https://doi.org/10.13181/mji.v23i4.1006
Keywords: malignant melanoma, rectum, radical excision
Abstract viewed: 1502 times
PDF downloaded: 669 times

Abstract

The most common site for malignant melanoma is skin, then eye and third is anorectal region. Primary anorectal malignant melanoma is still very uncommon. It is usually very aggressive and presents with altered bowel habit and rectal bleeding. Proctoscopy shows non-pigmented or lightly pigmented polypoid lesion. Histopathology is confirmatory. Early radical excision is mandatory. A 56 year-old female was presented with malignant melanoma of the lower third of rectum. We report this case for its rarity.

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Author Biographies

Somak Das, Surgical Gastroenterology Apollo Hospital, Chennai, Tamilnadu
DNB Resident Surgical Gastroenterology, Apollo Hospital, Chennai, Tamilnadu, India, Pin - 600006
Tuhin S. Mandal, Department of General Surgery, NRS Medical College, Kolkata
Residential Medical Officer, Department of General Surgery
Souvik Paul, Department of General Surgery, Calcutta Medical College, Kolkata
Residential Medical Officer, Department of General Surgery
Purnendu Datta, Department of General Surgery, Burdwan Medical College, Kolkata
Residential Medical Officer, Department of General Surgery
Aloke K. Sinhababu, Institute of Postgraduate Medical Education & Research, Kolkata
Mch student, Department of Pediatric Surgery

References

  1. Wanebo HJ, Woodruff JM, Farr GH, Quan SH. Anorectal melanoma. Cancer. 1981 Apr 1;47(7):1891-900. http://dx.doi.org/10.1002/1097-0142(19810401)47:7<1891::AID-CNCR2820470730>3.0.CO;2-K

  2. Moore R. Recurrent melanosis of the rectum, after previous removal from the verge of the anus, in a man aged sixty-five. Lancet. 1857;69(1751):290. http://dx.doi.org/10.1016/S0140-6736(02)20230-5

  3. Roumen RM. Anorectal melanoma in The Netherlands: a report of 63 patients. Eur J Surg Oncol. 1996 Dec;22(6):598-601. http://dx.doi.org/10.1016/S0748-7983(96)92346-X

  4. Helmke BM, Otto HF. Anorectal melanoma. A rare and highly malignant tumor entity of the anal canal. Pathologe. 2004;25(3):171-7. German http://dx.doi.org/10.1007/s00292-003-0640-y

  5. Goldman S1, Glimelius B, Påhlman L. Anorectal malignant melanoma in Sweden. Dis Colon Rectum. 1990;33(10):874-7. http://dx.doi.org/10.1007/BF02051925

  6. Weinstock MA. Epidemiology and prognosis of anorectal melanoma. Gastroenterology. 1993;104(1):174-8.

  7. Chang AE, Karnell LH, Menck HR. The National Cancer Data Base report on cutaneous and noncutaneous melanoma: a summary of 84,836 cases from the past decade. The American College of Surgeons Commission on Cancer and the American Cancer Society. Cancer. 1998;83(8):1664-78. http://dx.doi.org/10.1002/(SICI)1097-0142(19981015)83:8<1664::AID-CNCR23>3.0.CO;2-G

  8. Podnos YD, Tsai NC, Smith D, Ellenhorn JD. Factors affecting survival in patients with anal melanoma. Am Surg. 2006;72(10):917-20.

  9. Weyandt GH, Eggert AO, Houf M, Raulf F, , Bröcker EB, Becker JC. Anorectal melanoma: surgical management guidelines according to tumour thickness. Br J Cancer. 2003;89(11):2019-22. http://dx.doi.org/10.1038/sj.bjc.6601409

  10. Ozgüroglu M, Ozaras R, Tahan V, Demirkesen C, Demir G, Dogusoy G, et al. Anorectal melanoma metastatic to the breast. J Clin Gastroenterol. 1999;29(2):197-9. http://dx.doi.org/10.1097/00004836-199909000-00021

  11. Thibault C, Sagar P, Nivatvongs S, Ilstrup DM, Wolff BG. Anorectal melanoma- an incurable disease?. Dis Colon Rectum. 1997;40(6):661-8. http://dx.doi.org/10.1007/BF02140894

  12. Hillenbrand A, Barth TF, Henne-Bruns D, Formentini A. Anorectal amelanotic melanoma. Colorectal Dis. 2008;10(6):612-5. http://dx.doi.org/10.1111/j.1463-1318.2007.01400.x

  13. Pantalone D, Taruffi F, Paolucci R, Liguori P, Rastrelli M, Andreoli F. Malignant melanoma of the rectum. Eur J Surg. 2000;166(7):583-4. http://dx.doi.org/10.1080/110241500750008709

  14. Cooper PH, Mills SE, Allen MS Jr. Malignant melanoma of the anus: report of 12 patients and analysis of 255 additional cases. Dis Colon Rectum. 1982;25(7):693-703. http://dx.doi.org/10.1007/BF02629543

  15. Yap LB, Neary P. A comparison of wide local excision with abdominoperineal resection in anorectal melanoma. Melanoma Res. 2004;14(2):147-50. http://dx.doi.org/10.1097/00008390-200404000-00012

  16. Poggi SH, Madison JF, Hwu WJ, Bayar S, Salem RR. Colonic melanoma, primary or regressed primary. J Clin Gastroenterol. 2000;30(4):441-4. http://dx.doi.org/10.1097/00004836-200006000-00019

  17. Stoidis CN, Spyropoulos BG, Misiakos EP, Fountzilas CK, Paraskeva PP, Fotiadis CI. Diffuse anorectal melanoma; review of the current diagnostic and treatment aspects based on a case report. World J Surg Oncol. 2009;7:64. http://dx.doi.org/10.1186/1477-7819-7-64

  18. Ulmer A, Metzger S, Fierlbeck G. Successful palliation of stenosing anorectal melanoma by intratumoral injections with natural interferon-beta. Melanoma Res. 2002;12(4):395-8. http://dx.doi.org/10.1097/00008390-200208000-00013

  19. Yeh JJ, Weiser MR, Shia J, Hwu WJ. Response of stage IV anal mucosal melanoma to chemotherapy. Lancet Oncol. 2005;6(6);438-9. http://dx.doi.org/10.1016/S1470-2045(05)70212-6

  20. Belli F, Gallino G, Tragni G, Andreola S, Leo E. Surgical and pathological prognostic factors in anorectal melanoma: The experience of the National Cancer Institute of Milano. Proceedings 12th Congress of the European Society of Surgical Oncology. Budapest; 2004:77.

Published
2015-01-27
How to Cite
1.
Das S, Mandal TS, Paul S, Datta P, Sinhababu AK. Primary rectal melanoma - a case report. Med J Indones [Internet]. 2015Jan.27 [cited 2024Oct.7];23(4):229-31. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/1006
Issue
Vol. 23 No. 4 (2014): November
Section
Case Report/Series

Copyright (c) 2015 Somak Das, Tuhin S. Mandal, Souvik Paul, Purnendu Datta, Aloke K. Sinhababu

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