학술논문

Two Cases of T1 Anorectal Malignant Melanoma with Laparoscopic Abdominoperineal Resection / 腹腔鏡下腹会陰式直腸切断術を行った深達度T1直腸肛門部悪性黒色腫の2例
Document Type
Journal Article
Source
日本消化器外科学会雑誌 / The Japanese Journal of Gastroenterological Surgery. 2018, 51(9):590
Subject
abdominoperineal resection
lymph node metastasis
malignant melanoma
所属リンパ節転移
直腸肛門部悪性黒色腫
腹腔鏡下腹会陰式直腸切断術
Language
Japanese
ISSN
0386-9768
1348-9372
Abstract
We report two cases of anorectal malignant melanoma (AMM) with an invasion depth of T1 laparoscopic abdominoperineal resection. Both cases required trans-anal resection for anorectal tumors, diagnosed to have an invasion depth of T1 AMM in another hospital. In both cases, we performed colorectal endoscopy and had the residuum of tumor after trans-anal resection. In both cases laparoscopic abdominoperineal resections were performed. The pathological diagnosis of case 1 was AMM, pStage IIIa. Multiple liver metastasis was found by CT 2 months after surgery. Case 2 showed multiple lung metastases with CT in AMM, pStage IIIb 3 months postoperatively. We presented two cases of T1 AMM recurrent early postoperatively.