Evidence map›Paper›PMID 31659505›Full record

ArticleSurgical endoscopy2020

Primary and metastatic melanoma of the GI tract: clinical presentation, endoscopic findings, and patient outcomes.

Danielle La Selva, Richard A Kozarek, Russell K Dorer, Flavio G Rocha, Michael Gluck

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Primary melanoma of the gastrointestinal tract.World journal of gastroenterology · 2026
    Review
  5. Article
  6. Article
  7. Observational
  8. Malignant melanoma of gastrointestinal tract onAmerican journal of nuclear medicine and molecular imaging · 2023
    Article
  9. Article
  10. Metastatic melanoma presenting with dyspepsia: a case report.The Journal of international medical research · 2022
    Article
  11. Review
  12. Article
  13. Melanoma of unknown primary presenting as intestinal obstruction: a diagnostic challenge.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Danielle La SelvaDigestive Disease Institute, Virginia Mason Medical Center, C3-GAS, 1100 Ninth Avenue, Seattle, WA, USA.
Richard A KozarekDigestive Disease Institute, Virginia Mason Medical Center, C3-GAS, 1100 Ninth Avenue, Seattle, WA, USA.
Russell K DorerDigestive Disease Institute, Virginia Mason Medical Center, C3-GAS, 1100 Ninth Avenue, Seattle, WA, USA.
Flavio G RochaDigestive Disease Institute, Virginia Mason Medical Center, C3-GAS, 1100 Ninth Avenue, Seattle, WA, USA.
Michael GluckDigestive Disease Institute, Virginia Mason Medical Center, C3-GAS, 1100 Ninth Avenue, Seattle, WA, USA. michael.gluck@virginiamason.org.ORCID http://orcid.org/0000-0002-2048-3949
Virginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsMelanoma incidence has increased worldwide with a concurrent rise in both primary and metastatic melanomas of the gastrointestinal tract. MATERIALS AND

methodsThis retrospective single-center case series includes patients with histopathology-confirmed primary or metastatic melanoma of the GI tract between 1998 and 2018.

resultsThirty-four patients were identified for inclusion, of whom 7 were primary and 27 were metastatic cases of gastrointestinal melanoma. For both primary and metastatic cases, the majority of patients presented with frank or occult GI bleeding (57.1% and 70.4%). Primary and metastatic lesions were predominantly diagnosed endoscopically (100% and 63.0%), with 71.4% of primary lesions found at the anorectal junction and 51.9% of metastatic lesions in the small bowel. Endoscopically diagnosed lesions were either polypoid (50%) or a luminal mass (37.5%) in the majority of cases. Common features included: amelanotic (83%), ulcerated (50%), and friable (33.3%). All primary patients were treated with surgical excision or resection. Of the metastatic patients, 56% were resected. The median interval between initial primary and gastrointestinal metastases was 65 months (ranging from 1 month to 24 years). At the time of data analysis, 85.7% of primary and 29.6% of metastatic patients remained alive.

conclusionsThe majority of patients in this series were diagnosed endoscopically while investigating a source of gastrointestinal blood loss. Heightened clinical suspicion and recognition of the endoscopic features of gastrointestinal melanoma during evaluation of GI symptoms in a patient with a personal history of primary melanoma are advised.

Indexed as

EndoscopyAgedCutaneous Malignant MelanomaFemaleGastrointestinal HemorrhageGastrointestinal NeoplasmsHumansMaleMelanomaRetrospective StudiesSkin NeoplasmsTreatment OutcomeAnemiaAnorectalEndoscopyGI BleedingMelanoma

Identifiers

PMID31659505
OpenAlexW2982435166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.