Primary anorectal melanoma—a rare entity: case report
Autor: | Yves Couvreur, Robert De Keuleneer, Bernard Vanhoute, Konstantinos Kothonidis, F Maassarani |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Abdominoperineal resection business.industry Urethral sphincter Melanoma Case Report Ipilimumab medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Surgery Anorectal melanoma Radiology Nivolumab Rectal Polyp business Lymph node medicine.drug |
Zdroj: | Journal of Surgical Case Reports |
ISSN: | 2042-8812 |
DOI: | 10.1093/jscr/rjx060 |
Popis: | Anorectal melanoma is a rare disorder. There have only been a few cases reported and there is no consensus of treatment. We report a case of 50-year-old Caucasian man presenting intermittent prolapse of an anorectal mass during 6 months with occasional bleeding. Biopsies came up with the diagnosis of malignant melanoma. No distant metastases were found. He underwent an abdominoperineal resection due to internal sphincter invasion. A second tumour was diagnosed in final histologic examination: a dysplastic rectal polyp invaded by the melanoma (collision tumour). At 12 months of follow up he presented loco-regional recurrence (a single pelvic lymph node) and hepatic metastases. He was included in a study protocol comparing new medical treatments (nivolumab versus ipilimumab or both). |
Databáze: | OpenAIRE |
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