Evidence map›Paper›PMID 39697934›Full record

ArticleCureus2024

Combined Neoadjuvant-Adjuvant Immunotherapy and Abdominoperineal Resection for a Primary Anorectal Melanoma: A Case Report.

Georgios E Papanikolaou, Konstantinos Tsimogiannis, Eleftherios Kampletsas, Theocharis Chatzoglou, Dimitrios N Varvarousis

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Georgios E PapanikolaouDepartment of Plastic Surgery, Metropolitan General Hospital, Athens, GRC.
Konstantinos TsimogiannisDepartment of Colorectal Surgery, St Luke's Hospital, Thessaloniki, GRC.
Eleftherios KampletsasDepartment of Medical Oncology, University General Hospital of Ioannina, Ioannina, GRC.
Theocharis ChatzoglouDepartment of Medicine, University of Ioannina, Ioannina, GRC.
Dimitrios N VarvarousisDepartment of Orthopaedics, University General Hospital of Ioannina, Ioannina, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anorectal melanoma (ARM) is a rare entity with aggressive biological behavior and poor prognosis. Clinically, ARM presents with atypical symptoms, such as anal pain and bleeding, thus often being misdiagnosed as a benign anorectal pathology and leading to delayed diagnosis. We present a case of a 73-year-old female patient with stage I ARM, treated successfully with a combination of neoadjuvant-adjuvant immunotherapy (nivolumab, an anti-PD-1 monoclonal antibody) and abdominoperineal resection. The patient is disease-free at a five-year follow-up after the operation, suggesting that long-term targeted immunotherapy offers a durable and promising response. This case highlights the critical role of a multidisciplinary approach, involving specialists in ARM surgery and systemic therapies, to improve prognosis and ensure an optimal quality of life for patients with ARM. Given the limited scientific evidence, further prospective and randomized trials are required to develop effective systemic therapies and improve the survival of patients with ARM.

Indexed as

abdominoperineal resectionanorectal melanomaimmune checkpoint inhibitorsimmunotherapymucosal melanoma

Identifiers

PMID39697934
PMCPMC11655081

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Registered trials

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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.