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Primary rectal malignant melanoma with schistosomiasis
Zhimeng Cheng1,2, Chao Wang3, Yulong Cai1,2
1Division of Biliary Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Intractable & Rare Diseases Research
|June 9, 2025
Summary
This case study presents a rare instance of primary rectal malignant melanoma co-occurring with schistosomiasis. The patient achieved a 5-year disease-free survival following targeted therapy, suggesting potential treatment avenues for this rare condition.
Area of Science:
- Gastroenterology
- Oncology
- Infectious Diseases
Background:
- Primary rectal malignant melanoma is exceptionally rare, with limited reported cases.
- Schistosomiasis co-infection with rectal melanoma is exceedingly uncommon.
- Rectal malignant melanoma has a high mortality rate, with limited established treatment protocols.
Discussion:
- This report details a unique case of a 79-year-old female with primary rectal malignant melanoma and *Schistosoma japonicum* infection.
- The patient underwent radical rectal resection followed by targeted therapy with Dabrafenib and Trametinib.
- Successful 5-year disease-free survival was achieved, offering insights into managing this rare dual diagnosis.
Key Insights:
- The successful treatment highlights the potential efficacy of targeted therapies like Dabrafenib and Trametinib in managing advanced rectal melanoma.
- The presence of *Schistosoma japonicum* in the tumor warrants further investigation into its role in melanoma development or progression.
- This case underscores the importance of comprehensive diagnostic workups for rare gastrointestinal malignancies.
Outlook:
- Further research is needed to elucidate the complex relationship between schistosomiasis and the development of melanoma.
- Investigating novel therapeutic strategies for rare rectal cancers co-infected with parasitic diseases is crucial.
- Long-term follow-up studies are essential to assess the durability of response to targeted therapies in similar cases.

