RESUMO
The cases of four patients who are carriers of primitive anorectal malignant melanoma are presented, reviewing at the same time the medical literature available. The clinic of all these patients was similar: pain, proctorrhagia, tumors, tenesmus, hemorrhoids and changes in the intestinal rhythm. One of these cases was similar to thrombosed hemorrhoids, and for this reason we believe that all of the parts that are removed should be biopsied. The prognosis of this pathology is in general adverse, notwithstanding the treatment received. There are very few cases on record that have survived more than 5 years, with early diagnosis and treatment with an abdominal-perineal resection. Radiotherapy and chemotherapy can reduce the size of the lesion but it is acknowledged that the prognosis will not change.
Assuntos
Melanoma/cirurgia , Neoplasias Retais/cirurgia , Idoso , Feminino , Humanos , Masculino , Melanoma/patologia , Pessoa de Meia-Idade , Prognóstico , Neoplasias Retais/patologiaRESUMO
The cases of four patients who are carriers of primitive anorectal malignant melanoma are presented, reviewing at the same time the medical literature available. The clinic of all these patients was similar: pain, proctorrhagia, tumors, tenesmus, hemorrhoids and changes in the intestinal rhythm. One of these cases was similar to thrombosed hemorrhoids, and for this reason we believe that all of the parts that are removed should be biopsied. The prognosis of this pathology is in general adverse, notwithstanding the treatment received. There are very few cases on record that have survived more than 5 years, with early diagnosis and treatment with an abdominal-perineal resection. Radiotherapy and chemotherapy can reduce the size of the lesion but it is acknowledged that the prognosis will not change.
RESUMO
Se presentan nueve casos de fibromatosis agresiva. Se describen los parametros anatomopatologicos, enfatizandose las diferencias con el termino fibrosarcoma. Las edades de los pacientes fluctuaron entre 24 y 51 anos: siete femeninos y dos masculinos. Las localizaciones fueron en pared anterior del abdomen en cuatro oportunidades y region palmar, submaxilar, mesenterica, antebrazo y perineal en una ocasion.Dos casos recidivaron dentro del ano de extirpados. Sobre la base del examen histologico no es posible predecir si una fibromatosis recidivara. Pero es posible predecir si un tumor fibroso es capaz o no de dar metastasis
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Neoplasias Abdominais , FibromaRESUMO
Se presentan nueve casos de fibromatosis agresiva. Se describen los parametros anatomopatologicos, enfatizandose las diferencias con el termino fibrosarcoma. Las edades de los pacientes fluctuaron entre 24 y 51 anos: siete femeninos y dos masculinos. Las localizaciones fueron en pared anterior del abdomen en cuatro oportunidades y region palmar, submaxilar, mesenterica, antebrazo y perineal en una ocasion.Dos casos recidivaron dentro del ano de extirpados. Sobre la base del examen histologico no es posible predecir si una fibromatosis recidivara. Pero es posible predecir si un tumor fibroso es capaz o no de dar metastasis