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CC BY 4.0 · Surg J (N Y) 2017; 03(04): e177-e180
DOI: 10.1055/s-0037-1608902
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Approach to Anorectal Melanoma with PET-CT Staging: A Case Report

Nilufer Bulut
1   Department of Medical Oncology, Kanuni Sultan Suleyman Search and Education Hospital, Istanbul, Turkey
,
Sevinc Dagıstanlı
2   Department of General Surgery, Kanuni Sultan Suleyman Search and Education Hospital, Istanbul, Turkey
,
Burcak Yılmaz
3   Division of Nuclear Medicine, Department of Radiology, Sisli Etfal Education and Research Hospital, Istanbul, Turkey
,
O. Faruk Atay
4   Department of Pathology, Kanuni SS Search and Education Hospital, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

01 July 2017

26 September 2017

Publication Date:
27 November 2017 (online)

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Abstract

Rectal hemorrhage should be evaluated within a wide spectrum ranging from benign diseases to a malignant process. Especially, the melanomas of rectum are detected at an advanced stage when diagnosed since the present symptoms of rectal melanomas are similar. The question of what will be the surgical approach with MR, CT, and PET-CT imaging methods performed after histopathological diagnosis still conserves its topicality. PET-CT is a good imaging method for determination of distant metastasis and lymphatic involvement. In the present case, a patient with early-stage rectal melanoma was treated with APR. No relapse/metastasis was detected during the 18-month follow-up. The aggressive course of the disease and its low response rates to medical treatments may cause the surgical approaches to be more extensive.

Keywords

anorectal melanoma - PET-CT - abdominoperineal resection

Informed Consent

Written informed consent was obtained from the patient.


Funding

None.


 

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