Evidence map›Paper›PMID 37886628›Full record

ArticleSAGE open medical case reports2023

Organ preservation in anorectal melanoma: A tempting challenge-a case report.

Mohamed Mehdi Trabelsi, Neirouz Kammoun, Marwa Inoubli, Mohamed Ali Chaouch, Haifa Ben Romdhane, Wafa Koubaa, Hichem Jerraya

Open access · goldAbstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Mohamed Mehdi TrabelsiDepartment B of Surgery, Charles Nicolle Hospital, Tunis, Tunisia.ORCID https://orcid.org/0000-0003-1649-4327
Neirouz KammounDepartment B of Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
Marwa InoubliDepartment of Radiology, Salah-Azaiz Institute, Tunis, Tunisia.
Mohamed Ali ChaouchDepartment B of Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
Haifa Ben RomdhaneGastroenterology Unit, Mediterranean Clinic, Tunis, Tunisia.
Wafa KoubaaLaboratoire d'anatomopathologie, Centre Carrefour Médical, Tunis, Tunisia.
Hichem JerrayaDepartment B of Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
Hôpital Charles-Nicolle · TNInstitut Salah-Azaïz · TNMediterranean School of Business · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melanoma arising from melanocytes is an uncommon neoplastic lesion, with rare occurrences in anorectal mucosa. While mucosal melanomas constitute a small portion of all melanomas, anorectal cases are even rarer and present with aggressive behavior and poor prognosis. Surgical management is central, with evolving debates regarding optimal approaches. We present a case of a 60-year-old woman with anorectal melanoma. She complained of rectal bleeding and weight loss. Clinical examination and pelvic magnetic resonance imaging revealed a 3-cm budding lesion on the anterior rectal wall. Colonoscopy identified a pedunculated anorectal tumor of 3 cm, situated 4 cm from the anal margin. A biopsy led us to a malignant lesion: anorectal melanoma. Pelvic imaging displayed a localized tumor, prompting wide local excision with millimetric negative margins. These resection margins were estimated insufficient, even in front of R0 resection. Thus, and after multidisciplinary discussion, we opted for abdominoperineal resection after wide local excision. Lymph nodes were biopsied, confirming no residual tumor. Follow-up exhibited no recurrence at 1 year. Our case emphasizes the pivotal role of surgical strategy in managing anorectal melanoma, challenging the paradigm of organ preservation. Despite therapeutic progress, surgery remains integral, contributing to improved outcomes and addressing the metastatic potential inherent to this disease.

Indexed as

abdominoperineal resectionAnorectal melanomawide local excision

Identifiers

PMID37886628
PMCPMC10599109
OpenAlexW4387916555

What OpenQuestion holds

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LicenceCC BY-NC
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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.