THE SURGICAL MANAGEMENT OF ANORECTAL MALIGNANT MELANOMA
- 1 April 1981
- journal article
- case report
- Published by Wiley in Anz Journal of Surgery
- Vol. 51 (2), 132-136
- https://doi.org/10.1111/j.1445-2197.1981.tb05924.x
Abstract
The biological vagaries of anal malignant melanoma are illustrated by four cases in Chinese patients. All four died within five years. Their poor prognosis emphasizes the value of preoperative studies to detect clinically occult metastases and obviate futile radical surgery. Many patients already have disseminated disease at the time of diagnosis, and local excision of the tumour provides acceptable palliation. For localized disease, abdominoperineal resection prevents local recurrence and removes the mesenteric nodes which are frequently involved. Palpable inguinal nodes necessitate therapeutic groin dissection, but we perform elective resection only when affected nodes are found at laparotomy. Pelvic lymphadenectomy should be performed in conjunction with abdominoperineal resection. The efficacy of chemotherapy for anorectal melanoma remains uncertain.Keywords
This publication has 24 references indexed in Scilit:
- Malignant melanoma of the anorectumDiseases of the Colon & Rectum, 1980
- Diagnosis, Treatment and Prognosis of Early MelanomaAnnals of Surgery, 1980
- Malignant melanoma of the anus in a negroDiseases of the Colon & Rectum, 1977
- Comparison of Lymphedema Following Incontinuity and Discontinuity Groin DissectionAnnals of Surgery, 1977
- Malignant melanoma of the rectal ampullaDiseases of the Colon & Rectum, 1977
- A comparative study of melanoma and epidermoid carcinoma of the anal canal: A review of 20 melanomas and 29 epidermoid carcinomas (1930 to 1965)Diseases of the Colon & Rectum, 1967
- Ano-rectal melanomaCancer, 1966
- Malignant melanoma of the anal canalJournal of Clinical Pathology, 1963
- Treatment of anorectal malignant melanomaDiseases of the Colon & Rectum, 1960
- Malignant melanoma of the anorectumDiseases of the Colon & Rectum, 1959