Uner A, Kilic D, Mentes B B, Egehan I, Dursun A
Department of Medical Oncology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Int J Clin Pract. 2003 Jan-Feb;57(1):65-7.
Primary anorectal malignant melanoma is a rare neoplasm that carries a poor prognosis with a high metastatic potential. A case of a 60-year-old male who was admitted to the emergency service with signs of colonic obstruction forced us to reconsider diagnostic and therapeutic implications in anorectal melanoma. Following urgent decompression with laparoscopic sigmoid loop colostomy, the patient was treated with preoperative radiotherapy and local excision. He has since been free of disease for 30 months. The previously published reports are reviewed and the current therapeutic options are discussed.
原发性肛管恶性黑色素瘤是一种罕见的肿瘤，预后较差，具有较高的转移潜能。一名60岁男性因结肠梗阻症状入住急诊，该病例促使我们重新思考肛管黑色素瘤的诊断和治疗意义。在通过腹腔镜乙状结肠袢式造口术进行紧急减压后，患者接受了术前放疗和局部切除。此后他已无病生存30个月。本文回顾了既往发表的报告并讨论了当前的治疗选择。
