ResumenEl melanoma anorrectal es infrecuente, su clínica inespecífica y su diagnóstico tardío, acompañándose de pronóstico ominoso. Se reporta el caso de melanoma anorrectal. Mujer de 62 años con historia de baja de peso y masa rectal, estudio histológico evidencia melanoma anorrectal, realizándose cirugía respectiva y posterior radioterapia hipofraccionada. La clínica del melanoma anorrectal dificulta el diagnóstico, presentándo-se en edades propias de patologías más frecuentes y benignas como hemorroides. El tratamiento de elección es quirúrgico. Se recomienda un elevado índice de sospecha para manejo oportuno.Palabras claves: Melanoma; Neoplasias del recto; Canal anal; Recto. summaRy Anorrectal melanoma is rare, his clinic is unspecific and his diagnostic is late, accompanied by ominous prognosis. The case of anorrectal melanoma is reported. A 62 year old female presented weight loss and rectal mass, histology study showed melanoma anorrectal, resection surgery and radiotherapy hypofractionated were performed. Anorrectal melanoma clinical is a difficult diagnosis, this appears in ages where others diseases benign are more frequent, such as hemorrhoids. The treatment of choice is surgical. A high index of suspicion for timely management is recommended.
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