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Although anal melanoma is rare, adenocarcinoma is common therefore, patients presenting with bleeding should undergo a complete examination of the colon and rectum. Patients with anal melanoma often suffer a delay in diagnosis, which occurs for a variety of reasons. Anorectal malignant melanoma (armm) is a rare and highly malignant tumor with less than 5 year survival of 10 patients 1, 2. Armm is often misdiagnosed in about two thirds of patients and most often as haemorrhoids, adenocarcinoma polyps and rectal cancer. malignant melanoma of the rectum is an extremely rare and very aggressive disease. 5-4 of all anorectal malignancies and less than 1 of all melanomas. 2,3 patients, predominantly women, typically present with local symptoms in the fifth or sixth decade of life. Malignant melanoma has a strong association with the caucasian race. Patients commonly present with advanced, even metastatic disease. Because anal melanoma is rare, only small case series have been reported in the literature, making it difficult for one to draw conclusions about optimal treatment and outcome. 2 the surgical management of patients with anorectal melanoma is controversial. anorectal melanoma is a rare cancer that starts in the anus or rectum (back passage). It can happen at any age but is more likely to affect people over the age of 60. Anorectal melanoma is also called anorectal mucosal melanoma (armm). We have separate information about anal cancer rectal cancer melanoma. After many trips to the doctors it was determined that the cancer has not spread at this time. melanoma is the third most frequent primary tumor type in terms of brain metastasis, after lung and renal cell cancers. Bm are diagnosed in up to 10 of melanoma patients during their disease course and bm are found at autopsy in up to 73 of patients who died from disseminated cutaneous melanoma. Melanoma is described by stages, which give an idea of how far the cancer has spread. Find out what the stages mean for prognosis and survival rates. Melanoma is one of the least common forms of skin cancer, but its also the deadliest.