The clinical features and optimal treatment of anorectal malignant melanoma

Soomin Nam, Chang Woo Kim, Se Jin Baek, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim

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19 Citations (Scopus)

Abstract

Anorectal malignant melanoma (AMM) is a very rare and aggressive disease. The purpose of this article is to review the clinical features of AMM, to understand treatment options, and optimal therapy by reviewing pertinent literature. Traditionally an abdominoperineal resection (APR) sacrificing the anal sphincter has been performed for radical resection of cancer, but recently, wide excision of AMM is attempted since quality of life after surgery is an important issue. Some authors reported that there was no difference in five-year survival between the patient who underwent an APR and wide excision. The goal of both APR and wide excision was to improve survival with R0 resection. Adjuvant chemoradiation therapy can be performed to achieve an R0 resection. AMM shows very poor prognosis. At this time, research on AMM is insufficient to suggest a treatment guideline. Thus, treatment options, and a therapeutic method should be selected carefully.

Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalAnnals of Surgical Treatment and Research
Volume87
Issue number3
DOIs
Publication statusPublished - 2014 Sep 1

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All Science Journal Classification (ASJC) codes

  • Surgery

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