The clinical features and optimal treatment of anorectal malignant melanoma

作者：Nam Soomin; Kim Chang Woo; Baek Se Jin; Hur Hyuk; Min Byung Soh; Baik Seung Hyuk^*; Kim Nam Kyu

来源：Annals of Surgical Treatment and Research, 2014, 87(3): 113-117.

DOI：10.4174/astr.2014.87.3.113

• Melanoma
• Skin neoplasms
• Anal neoplasms
• Surgery
• Wide local excision

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 RU resection. Adjuvant chemoradiation therapy can be performed to achieve an RU 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.

• 出版日期2014-9