DOI: https://doi.org/10.36347/sasjm.2026.v12i05.005

Pages: 398-401

Primary anorectal melanoma is a rare mucosal tumor with aggressive behavior and poor prognosis [1,2]. Pelvic magnetic resonance imaging [MRI] is the modality of choice for preoperative assessment, allowing accurate lesion characterization and evaluation of locoregional extension [3.4]. We report the case of a 65-year-old woman presenting with an anorectal mass. Histologically confirmed as rectal melanoma. MRI enabled staging as T3 N0 Mx and demonstrated typical morphological and signal characteristics of this rare entity. Histologically, it was confirmed as rectal melanoma. In light of this observation, we discuss the radiological features of anorectal melanoma, its differential diagnosis, and the role of imaging in therapeutic management [3,4,7].