Abstract
Introduction
Historically, the treatment of anorectal melanoma has been abdominoperineal resection (APR), but more recently local resection alone. Although treatment at melanoma centers has become less aggressive, the adoption of this approach and related outcomes across the USA is unknown.
Methods
The Surveillance, Epidemiology, and End Results (SEER) database was queried to identify patients treated for anorectal melanoma (1973–2003). Treatment patterns and survival were studied. Frequency of treatment was compared using the chi-square test; survival was calculated using the Kaplan–Meier method.
Results
The 183 patients identified from the SEER database had a median age of 68 years. Of the 143 patients whose data were included, 51 underwent APR and 92 underwent transanal excision (TAE). Despite similar pathologic characteristics, median survival was similar in the two groups: 16 months for APR and 18 months for TAE (P = ns). Five-year survival also was similar in the two groups: 16.8% for APR and 19.3% for TAE (P = ns). The rate of APR was 27.0% between 1973 and 1996, as compared with 43.2% between 1997 and 2003 (P = ns).
Conclusion
This study, the largest series to analyze widespread practice patterns and outcomes for anorectal melanoma in the USA, did not reveal a survival difference comparing TAE with APR. Moreover, the study did not reveal a trend toward less aggressive surgical resection. Since the extent of surgical intervention did not correlate with survival or extent of primary tumor, APR should be reserved for selected patients in whom TAE is not technically feasible.
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Acknowledgment
Supported by grant CA29605 from the National Cancer Institute and by funding from the Amyx Foundation, Inc. (Boise, ID), the Wayne and Gladys Valley Foundation (Oakland, CA), Mr. and Mrs. Louis Johnson, (Stanfield, AZ), Berton M. Kirshner (Los Angeles, CA), Todd Kirshner (Los Angeles, CA), Heather and Jim Murren (Las Vegas, NV), Mrs. Marianne Reis (Lake Forest, CA), the Wallis Foundation (Los Angeles, CA), the Harold J. McAlister Charitable Foundation (Los Angeles, CA), the Family of Robert Novick (Los Angeles, CA), the Weil Family Fund (Los Angeles, CA), and the Wrather Family Foundation (Los Alamos, CA).
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Iddings, D.M., Fleisig, A.J., Chen, S.L. et al. Practice Patterns and Outcomes for Anorectal Melanoma in the USA, Reviewing Three Decades of Treatment: Is More Extensive Surgical Resection Beneficial in All Patients?. Ann Surg Oncol 17, 40–44 (2010). https://doi.org/10.1245/s10434-009-0705-0
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DOI: https://doi.org/10.1245/s10434-009-0705-0