Melanoma anorrectal / Anorectal melanoma

RESUMEN

El melanoma anorrectal es infrecuente, su clínica inespecífica y su diagnóstico tardío, acompañándose de pronóstico ominoso. Se reporta el caso de melanoma anorrectal. Mujer de 62 años con historia de baja de peso y masa rectal, estudio histológico evidencia melanoma anorrectal, realizándose cirugía respectiva y posterior radioterapia hipofraccionada. La clínica del melanoma anorrectal dificulta el diagnóstico, presentándose en edades propias de patologías más frecuentes y benignas como hemorroides. El tratamiento de elección es quirúrgico. Se recomienda un elevado índice de sospecha para manejo oportuno.

ABSTRACT

Anorrectal melanoma is rare, his clinic is unspecific and his diagnostic is late, accompanied by ominous prognosis. The case of anorrectal melanoma is reported. A 62 year old female presented weight loss and rectal mass, histology study showed melanoma anorrectal, resection surgery and radiotherapy hypofractionated were performed. Anorrectal melanoma clinical is a difficult diagnosis, this appears in ages where others diseases benign are more frequent, such as hemorrhoids. The treatment of choice is surgical. A high index of suspicion for timely management is recommended.