[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
August 1957

Malignant Melanoma of the AnorectumReport of a Case Without Recurrence Forty-Three Months Following Only Local Excision

Author Affiliations

St. Louis
From the Department of Surgery, Washington University School of Medicine, and the Division of Surgery, the Jewish Hospital.

AMA Arch Surg. 1957;75(2):253-255. doi:10.1001/archsurg.1957.01280140091015

The anorectum is the third most frequent site of origin of malignant melanoma, following only the skin and eyes. Malignant melanotic tumors originating at this junction spread by direct extension, by lymphatic pathways, and via the blood stream. Accordingly, they have been treated by radical surgical intervention, which has usually included an abdominoperineal resection, followed in some instances by block dissection of ileoinguinal lymph nodes. Despite such drastic therapeutic measures, results have been uniformly poor, and survival for three years or longer has been unusual.

The case reported here is that of a patient who remains alive and well, without evidence of recurrence or metastasis, 43 months after therapy consisting only of a wide local excision.

Report of Case  The patient was a 65-year-old married white woman whose chief complaint on admission was of occasional episodes of rectal bleeding for six months. During the same period she had had intermittent

First Page Preview View Large
First page PDF preview
First page PDF preview