Anorectal melanoma metastatic to the breast

Anorectal melanoma is an extremely rare malignancy with poor prognosis. Pat ients generally present with a sensation of mass and rectal bleeding, which is usually attributed to hemmorrhoids or polyps. It can not be diagnosed e arly because of these benign symptoms, so it is bulky at the time of presen tation. Despite aggresive surgery, 5-year survival is less than 10%. We pre sent a case of inoperable anorectal melanoma which metastasized to the left breast and abdominal lymph nodes. We also briefly reviewed the appropriate literature, emphasizing the diagnostic and therapeutic approaches.