We read ,with interest ,the paper by Kolosov et al. We are a little confused by the conclusion. Although the prognosis of anorectal melanoma (AM) is poor irrespective of the surgical approach (radical vs. local) – in their own cohort as well as in the literature-, the authors write: “An aggressive surgical approach may have an effect on survival in most early stages, while more advanced disease benefits from a more conservative approach.

中文翻译：

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致编辑的信：Kolosov 等人：肛门直肠区原发性黑色素瘤：17 例临床和组织病理学回顾。一项回顾性队列研究。Colorect Dis 2021: DOI: 10.1111/codi.15816

我们饶有兴趣地阅读了 Kolosov 等人的论文。我们对这个结论有些困惑。尽管肛门直肠黑色素瘤 (AM) 的预后很差，与手术方法（根治性与局部性）无关——在他们自己的队列中以及在文献中——但作者写道：“积极的手术方法可能会影响生存率在大多数早期阶段，而更晚期的疾病则受益于更保守的方法。