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Case Reports in Surgery
Volume 2012, Article ID 247348, 4 pages
Case Report

Primary Malignant Melanoma of the Rectum: Report of Two Cases

1Department of Gastroenterological and General Surgery, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa, Tokyo 142-8666, Japan
2Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma 373-8550, Japan

Received 1 November 2012; Accepted 5 December 2012

Academic Editors: S. Bhatt, P. De Nardi, S. Landen, and M. Picchio

Copyright © 2012 Kodai Tomioka et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report two cases of rectal malignant melanomas. The patients were an 84-year-old male and a 66-year-old female who had blood in their stools. They were preoperatively diagnosed with poorly differentiated adenocarcinoma of the rectum. The clinical diagnosis for each was rectal carcinoma at stage IIIc according to the tumor-node-metastasis classification (6th edition), and the patients underwent abdominoperineal resection with dissection of lymph nodes. Pathological examination of the resected specimens revealed a malignant melanoma. Immunohistochemical analysis results were positive for HMB-45 and negative for cytokeratin AE1/AE3, CD45, and synaptophysin. Primary anorectal melanoma is an uncommon and aggressive disease that carries a poor prognosis. Therefore, it is necessary to provide systemic treatment. To improve prognosis, it is important to detect anorectal melanoma at an early stage.