| A case of primary malignant melanoma of the rectum with multiple metastases | 
		 
		
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			 Yoon Serk Lee,   Kwang Seok Kim,   Ho Jung Kim,   Yong Whee Bahk,   Tae Hyun Kim,   Dae Han Choi,   Sung Hwan Kang			 | 
		 
		
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				| 증례 : 다발성 전이를 동반한 원발성 직장 악성 흑색종 1예 | 
			 
			
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				이윤석.김광석.김호정.박용휘.김태현.최대한.강성환 ,   Kwang Seok Kim,   Ho Jung Kim,   Yong Whee Bahk,   Tae Hyun Kim,   Dae Han Choi,   Sung Hwan Kang				 | 
			 
			
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		| Abstract | 
	 
	
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		Anorectal melanoma is an uncommon tumor that comprises less than 1% of all malignancies of the anorectum. Prognosis is generally very poor in spite of aggressive treatment. Here, we report acase of primary malignant melanoma of the rectum. A 71-year-old man was admitted to our hospital with general weakness and low abdominal discomfort. Colonoscopy revealed a bleeding, ulcerating lesion with a dirty, black base and irregular margin in the distal rectum; the lesion was demonstrated to be malignant melanoma. Multiple metastases in the liver, lung, and bone were detected. The patient underwent systemic chemotherapy and immunotherapy for 5 months. Currently, he receives only conservative therapy. (Korean J Med 75:S715-S719, 2008) 		 | 
	 
				
			| Key Words: 
			Melanoma; Rectum			 | 
		 
	
	
							 
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