RESUMO
Anorectal melanoma is a rare and aggressive malignant neoplasm with an indolent course, manifesting with nonspecific symptoms and a poor prognosis. We present a case of anorectal melanoma that was initially treated as hemorrhoids and correctly diagnosed after lower gastrointestinal endoscopy. We also present the latest findings in the literature about anorectal melanomas and discuss updates about treatment options and management.
Assuntos
Técnicas Cosméticas/efeitos adversos , Coroas/efeitos adversos , Preenchedores Dérmicos/efeitos adversos , Doença Iatrogênica , Enfisema Subcutâneo/diagnóstico , Adulto , Preenchedores Dérmicos/administração & dosagem , Durapatita/administração & dosagem , Durapatita/efeitos adversos , Face , Feminino , Humanos , Dente Molar , Pescoço , Enfisema Subcutâneo/etiologia , Tela Subcutânea/diagnóstico por imagem , Fatores de Tempo , Tempo para o Tratamento , Tomografia Computadorizada por Raios XAssuntos
Adenocarcinoma/complicações , Neoplasias Pancreáticas/complicações , Paniculite/etiologia , Paniculite/patologia , Adenocarcinoma/patologia , Adenocarcinoma/secundário , Feminino , Genes BRCA2 , Humanos , Neoplasias Hepáticas/secundário , Pessoa de Meia-Idade , Mutação , Neoplasias Pancreáticas/patologiaAssuntos
Hepatite C Crônica/complicações , Imunoglobulina G/uso terapêutico , Psoríase/complicações , Psoríase/tratamento farmacológico , Receptores do Fator de Necrose Tumoral/uso terapêutico , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Etanercepte , Humanos , Imunoglobulina G/efeitos adversos , Masculino , Pessoa de Meia-IdadeRESUMO
AIM: The aim of this study was to assess whether patients with colorectal cancer (CRC) are aware of the risk to family members and to test an educational intervention. METHODS: CRC patients were surveyed regarding their cancer, family history, understanding of familial risk of CRC, and knowledge of existing screening guidelines for their relatives. An educational intervention was mailed to them and 6 months later they were resurveyed. RESULTS: Of 253 CRC patients who agreed to participate, only 120 (47.4%) knew that their first-degree relatives were at increased risk for CRC. African-American (AA) race, educational background, income, and previous family history of CRC were significant predictive factors on univariate analysis, but only AA race remained significant on multivariate analysis. Two hundred two patients received the educational intervention and were resurveyed. The understanding of family risk did not improve with this intervention. CONCLUSION: Most CRC patients do not know about their family members' risk. Better educational tools are needed.