A Rare Case of Unusual Malignant Melanoma

This report presents a case of “Advanced anal verge melanoma with secondaries in left inguinal lymph node , liver and vesico-uterine angle”. A 55year old female presented with complain of bleeding per rectum for 2 years and mass coming out through anus for 8 days. Local examination revealed a pedunculated lobular growth from the perianal verge with blackish discolouration along with left inguinal lymphadenopathy. On ultrasonography and CT Scan metastatic deposits in liver and vesicouterine angle was detected. This case report demonstrates the aggressive nature of the disease and hence gives a message to have a high index of suspicion for any case of rectal bleeding with lightly pigmented or non pigmented polypoid lesion on proctoscopic examination for early diagnosis and treatment. BACKGROUND