title: [A woman with a perianal skin disease].
abstract: A 69-year-old woman presented with a large pigmented perianal ulcer and inguinal lymphomas. The ulcer was fixed to the rectovaginal septum and the anal sphincter. Histological examination of a perianal skin biopsy revealed an anorectal melanoma. Prognosis is poor in these patients, median survival being less than 20 months.
authors.affiliation: Diakonessenhuis, afd. Heelkunde, Utrecht, the Netherlands. aschiphorst@diakhuis.nl
authors.forename: Anandi  H W
authors.initials: A
authors.lastname: Schiphorst
authors.forename: Apollo
authors.initials: A
authors.lastname: Pronk
mesh_terms: D000368:Aged; D001003:Anal Canal / Q000473:pathology*; D001005:Anus Neoplasms / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008545:Melanoma / Q000175:diagnosis*; D009362:Neoplasm Metastasis; D010166:Palliative Care; D011379:Prognosis