The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(3):715-719.
증례 : 다발성 전이를 동반한 원발성 직장 악성 흑색종 1예
이윤석.김광석.김호정.박용휘.김태현.최대한.강성환 , , , , , ,
A case of primary malignant melanoma of the rectum with multiple metastases
Yoon Serk Lee, Kwang Seok Kim, Ho Jung Kim, Yong Whee Bahk, Tae Hyun Kim, Dae Han Choi, Sung Hwan Kang


Abstract
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)

Keywords :Melanoma, Rectum
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