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Bediako-Bowan AA, Gbadamosi H, Ayettey HNG, Kumassah PK, Aperkor N, Dake S, Una UA, Nyamekye-Baidoo J, Dakubo JCB. Anorectal malignant mucosal melanoma. Ghana Med J 2022; 56:331-335. [PMID: 37575632 PMCID: PMC10416284 DOI: 10.4314/gmj.v56i4.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/15/2023] Open
Abstract
Anorectal mucosal melanoma (AMM) is a rare, aggressive malignancy. The symptoms of AMM mimic common benign conditions in the anus, such as haemorrhoids; hence diagnosis is often made late, a third of patients having metastasis at first presentation. Surgical resection remains the standard of treatment, and adjuvant therapy is varied, including immunotherapy, brachytherapy, and chemotherapy. The prognosis is poor, with a 5-year survival of 20%. A 65year old woman presented with a five-year history of symptoms suggestive of haemorrhoids and was diagnosed with a malignant anorectal mucosal melanoma after symptoms worsened and further investigation was performed. She underwent surgical resection and is currently receiving adjuvant therapy. The prognosis of AMM, the lack of consensus on the treatment regimen to date, and the need for a high index of suspicion for early diagnosis are discussed. Funding None declared.
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Affiliation(s)
- Antoinette A Bediako-Bowan
- Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Korle Bu Campus, P. O. Box 4236, Accra
- Department of Surgery, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | - Hafisatu Gbadamosi
- Department of Radiology, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | - Hannah N G Ayettey
- National Radiotherapy Oncology and Nuclear Medicine Centre, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | | | - Nicholas Aperkor
- Department of Surgery, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | - Selorm Dake
- Department of Surgery, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | - Uduak-Abasi Una
- Department of Surgery, Korle Bu Teaching Hospital, P. O. Box 77, Accra
| | | | - Jonathan C B Dakubo
- Department of Surgery, University of Ghana Medical School, College of Health Sciences, University of Ghana, Korle Bu Campus, P. O. Box 4236, Accra
- Department of Surgery, Korle Bu Teaching Hospital, P. O. Box 77, Accra
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Wilczynska B, Wilczynski H, Holynski R, Jezabek M, Jurak A, Wolter W, Wosiek B, Burnett TH, Iwai J, Lord JJ, Strausz SC, Wilkes RJ, Jones WV, Tominaga T, Wefel JP, Parnell TA, Tabuki T, Gregory JC, Hayashi T, Takahashi Y, Ogata T, Dake S, Oda H, Fuki M, Miyamura O. Observation of associated bottom production and decay in a high-energy hadron interaction. Phys Rev D Part Fields 1990; 41:3336-3342. [PMID: 10012271 DOI: 10.1103/physrevd.41.3336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Fukushima Y, Hamayasu C, Mitsumune T, Saito T, Sakata M, Shima M, Yamamoto Y, Dake S, Kawamoto M, Kusunose M, Ohmori N, Kasahara K, Shirai T, Torii S, Hotta N. Extensive air showers accompanied by gamma -ray families with. Int J Clin Exp Med 1989; 39:1267-1274. [PMID: 9959776 DOI: 10.1103/physrevd.39.1267] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Burnett TH, Dake S, Derrickson JH, Fountain WF, Fuki M, Gregory JC, Hayashi T, Holynski R, Iwai J, Jones WV, Jurak A, Lord JJ, Meegan CA, Miyamura O, Oda H, Ogata T, Parnell TA, Roberts FE, Saito T, Strausz S, Tabuki T, Takahashi Y, Tominaga T, Watts JW, Wilczynska B, Wilkes RJ, Wolter W, Wosiek B. Nucleus-nucleus interactions between 20 and 65 GeV per nucleon. Int J Clin Exp Med 1987; 35:824-832. [PMID: 9957726 DOI: 10.1103/physrevd.35.824] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Burnett TH, Dake S, Fuki M, Gregory JC, Hayashi T, Holynski R, Iwai J, Jones WV, Jurak A, Lord JJ, Miyamura O, Ogata T, Parnell TA, Saito T, Strausz S, Tabuki T, Takahashi Y, Tominaga T, Wilczynska B, Wilkes RJ, Wolter W, Wosiek B. Average transverse momentum and energy density in high-energy nucleus-nucleus collisions. Phys Rev Lett 1986; 57:3249-3252. [PMID: 10033997 DOI: 10.1103/physrevlett.57.3249] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Burnett TH, Dake S, Fuki M, Gregory JC, Hayashi T, Holynski R, Iwai J, Jones WV, Jurak A, Lord JJ, Miyamura O, Oda H, Ogata T, Parnell TA, Saito T, Tabuki T, Takahashi Y, Tominaga T, Watts JW, Wilczynska B, Wilkes RJ, Wolter W, Wosiek B. Cosmic ray heavy-ion interactions: Recent JACEE results. ACTA ACUST UNITED AC 1984. [DOI: 10.1063/1.34925] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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