New therapeutic strategies for rectal melanoma: Total rectal resection with coloendoanal anastomosis

E. Leo, F. Belli, G. Gallino, F. Ferro, R. Patuzzo, G. Tragni, S. Andreola, N. Cascinelli

Research output: Contribution to journalArticlepeer-review

Abstract

Primary melanoma of the anorectal region is a rare and aggressive disease which has a very severe prognosis irrespective of treatment. Of the approximately 500 cases reported in the literature, only 10% of the patients survived more than 10 years. The optimal surgical treatment for anorectal melanoma is still debatable. Indeed, surgical treatment has ranged from very extended (abdominoperineal resection or pelvic exenteration), to extremely conservative procedures such as local excision. Three cases are described of rectal melanoma submitted to total rectal resection, radical abdominopelvic lymphadenectomy and coloendoanal anastomosis with colonic J pouch. Preliminary results seem to confirm the possibility of performing radical resection with a sphincter-saving procedure in low rectal melanoma. Improvement in quality of life should be an incentive to develop this technique.

Original languageEnglish
Pages (from-to)147-149
Number of pages3
JournalTechniques in Coloproctology
Volume2
Issue number3
Publication statusPublished - 1998

Keywords

  • Coloendoanal anastomosis
  • Colorectal neoplasms
  • Melanoma surgery

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

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