LOCAL EXCISION ANORECTAL MELANOMA SIMULATING HEMORROIDAL MASS BY LIGASURE

Abstract

AA. report an extremely rare case of anorectal melanoma s imul a t ing an hemor rhoida l ma s s in a s ixty- four ye a r old woman. The first symptom was anal pain attributed to an anal fissure, easily bleeding, unsuccessfully treated with ointments. It was confused with hemorrhoids andthe patient a underwent to operation. Dur ing thi s proc edur e , us ing Liga sur e™ (Va l l e y l a b , California, S.U.A.) the surgeon suspected the presence of malignancy togheter too rmorroidal mass. Extemporaneous istological exam shos the presenceof the melanoma. Instrumental examination to staging disease demonstred bilateral inguinal linfoadenectomy. The linfonodes excised veren’t metastatic.