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Malignant melanoma of the anorectum: report of four cases
Authors:Fukui Rika  Hata Fumitake  Yasoshima Takahiro  Honma Toshio  Nomura Hiroki  Sasaki Kenichi  Nishimori Hidefumi  Sasaki Kazunori  Kutomi Goro  Ohno Keisuke  Oikawa Ikuo  Sasaki Kazuaki  Tarumi Ken  Ishiyama Yuuji  Kobayashi Kenji  Yamamoto Naoya  Hirata Koichi
Institution:(1)  First Department of Surgery, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543, Japan, JP;(2)  Department of Surgery, Sapporo Ishiyama Hospital, South-15, West-11, Chuo-ku, Sapporo 0604-0915, Japan, JP;(3)  Department of Surgery, Sapporo General Hospital of Hokkaido Railway Company, North-3, East-1, Chuo-ku, Sapporo 060-0033, Japan, JP;(4)  Department of Surgery, Sapporo Geka-Kinen Hospital, South-23, West-15, Chuo-ku, Sapporo 064-0923, Japan, JP
Abstract:Four cases of anorectal malignant melanoma are reported in this paper. All patients underwent an abdominoperineal resection with lymph node dissection for a curative operation and received postoperative chemotherapy with dacarbazine, ranimustine, and vincristine, either with or without interferon-β. One of these patients has been observed for more than 6 years postoperatively without any evidence of recurrence. The other three patients had advanced diseases at the time of diagnosis, and died within 3 years after operation. The prognosis of anorectal malignant melanoma is considered to be directly related to tumor size and depth. Therefore, a staging system and treatments based on the tumor size and depth (or thickness) are needed. Received: March 28, 2001 / Accepted: November 20, 2001
Keywords:Malignant melanoma  Anorectal neoplasm  Mucosal melanoma
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