Anorectal Melanoma: An Unusual Cause of Rectal Bleeding
Published: September 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/30689.10641
Uma Kumar, Udita Singhal
1. Specialist Pathology, Department of Pathology, ESI Hospital, Delhi, India.
2. Assistant Professor, Department of Pathology, ESI Hospital and Dental College, Delhi, India.
Correspondence
Dr. Uma Kumar,
Specialist Pathology, Department of Pathology, ESI Hospital, Sector 15, Rohini, Delhi-110089, India.
E-mail: dr.uma.path@gmail.com
Anorectum is a rare site for primary melanoma. It is an aggressive cancer with poor prognosis. The diagnosis is often delayed due to non-specific signs and symptoms. Clinically, it is often misdiagnosed as hemorrhoids. The cytological diagnosis can be challenging especially when melanin pigment is sparse or absent. Herein, we present a rare case of anorectal melanoma which was initially misdiagnosed as hemorrhoids. A final correct diagnosis was made on cytology when later on the patient developed inguinal metastasis.
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