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Report of a Case Without Recurrence Forty-Three Months Following Only Local Excision

JACOB G. PROBSTEIN, M.D.

AMA Arch Surg. 1957;75(2):253-255.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The anorectum is the third most frequent site of origin of malignant melanoma, following only the skin and eyes. Malignant melanotic tumors originating at this junction spread by direct extension, by lymphatic pathways, and via the blood stream. Accordingly, they have been treated by radical surgical intervention, which has usually included an abdominoperineal resection, followed in some instances by block dissection of ileoinguinal lymph nodes. Despite such drastic therapeutic measures, results have been uniformly poor, and survival for three years or longer has been unusual.

The case reported here is that of a patient who remains alive and well, without evidence of recurrence or metastasis, 43 months after therapy consisting only of a wide local excision.

Report of Case

The patient was a 65-year-old married white woman whose chief complaint on admission was of occasional episodes of rectal bleeding for six months. During the same period she had had intermittent . . . [Full Text PDF of this Article]

Author Affiliations
St. Louis

From the Department of Surgery, Washington University School of Medicine, and the Division of Surgery, the Jewish Hospital.

Footnotes
Submitted for publication Feb. 24, 1957.

Supported by a grant from the Florence G. May-David May Research Fund.

Carl G. Moyer, M.D., Professor of Surgery, Washington University School of Medicine, gave advice during the study.

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