title: Anorectal malignant melanoma: report of two cases from Buddhachinnaraj Hospital.
abstract: Anorectal malignant melanoma is a rare disease and has a uniformly poor prognosis. The following are two reported cases from Buddhachinaraj Hospital. A 55-year-old and a 65-year-old female patients presented with rectal bleeding. Large anorectal masses with regional lymph node involvement were detected initially. They exhibited different histological features which were atypical round cell resembling lymphocytes or were small cell appearance and spindle cell appearance similar to sarcoma. The diagnosis was confirmed by expression of S100 protein and HMB45. Abdominoperineal resection (APR) was the treatment of choice in both patients. The former case died in the fourth month after diagnosis because of distance metastasis and congestive heart failure. The latter case is receiving postoperative adjuvant therapy.
authors.affiliation: Department of Pathology and Forensic Medicine, Faculty of Medicine, Naresuan University, Phitsanuloke, Thailand. sjulintorn@yahoo.com
authors.forename: Julintorn
authors.initials: J
authors.lastname: Somran
authors.forename: Samornmas
authors.initials: S
authors.lastname: Kanngurn
authors.forename: Suchat
authors.initials: S
authors.lastname: Porncharoenpong
authors.forename: Ongart
authors.initials: O
authors.lastname: Lertkajornsin
mesh_terms: D000368:Aged; D001005:Anus Neoplasms / Q000473:pathology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008545:Melanoma / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D011379:Prognosis; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D013785:Thailand