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Surgical approach of anorectal mucosal melanoma with locoregional disease – a case report.

Authors :
Quinn, Rakesh
Ellis-Clark, Jodie
Source :
Journal of Surgical Case Reports. Aug2024, Vol. 2024 Issue 8, p1-3. 3p.
Publication Year :
2024

Abstract

Anorectal mucosal melanoma is rare entity. There is currently no consensus on optimal surgical treatment for loco-regional anorectal melanoma that has a favourable outcome. Abdominoperineal resection has not shown a survival benefit over wide local excision due to the inevitable distant recurrence. With local excision considered favourable given reduced surgical morbidity and avoidance of permanent stoma. However, anorectal melanomas are often diagnosed late, with an increased tumour size and depth of primary lesions, increasing the risk of local recurrence and subsequent disease morbidity when excised locally. The decision to proceed to local excision versus abdominoperineal resection is complex, it needs to be individualized, based on primary tumour clinicopathological features and driven by multidisciplinary discussion, with the goal to improve quality and quantity of life. We present a case of a 66-year-old female with anorectal mucosal melanoma with locoregional disease and our surgical approach. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20428812
Volume :
2024
Issue :
8
Database :
Academic Search Index
Journal :
Journal of Surgical Case Reports
Publication Type :
Academic Journal
Accession number :
179399961
Full Text :
https://doi.org/10.1093/jscr/rjae477