{"id":"https://openalex.org/W4394758732","doi":"https://doi.org/10.55519/jamc-04-12243","title":"UNVEILING THE REALITIES OF ANAL MELANOMA CARE IN A RESOURCE-CONSTRAINED SETTING","display_name":"UNVEILING THE REALITIES OF ANAL MELANOMA CARE IN A RESOURCE-CONSTRAINED SETTING","publication_year":2023,"publication_date":"2023-12-23","ids":{"openalex":"https://openalex.org/W4394758732","doi":"https://doi.org/10.55519/jamc-04-12243","pmid":"https://pubmed.ncbi.nlm.nih.gov/38406960"},"language":"en","primary_location":{"id":"doi:10.55519/jamc-04-12243","doi":"https://doi.org/10.55519/jamc-04-12243","is_oa":true,"landing_page_url":"https://doi.org/10.55519/jamc-04-12243","pdf_url":"https://jamc.ayubmed.edu.pk/index.php/jamc/article/download/12243/3642","source":{"id":"https://openalex.org/S2764835899","display_name":"Journal of Ayub Medical College Abbottabad","issn_l":"1025-9589","issn":["1025-9589","1819-2718"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4320800760","host_organization_name":"Ayub Medical College","host_organization_lineage":["https://openalex.org/P4320800760","https://openalex.org/P4404663249"],"host_organization_lineage_names":["Ayub Medical College","Khyber Medical University"],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College Abbottabad","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jamc.ayubmed.edu.pk/index.php/jamc/article/download/12243/3642","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5095379370","display_name":"Pragya Mitra","orcid":"https://orcid.org/0009-0008-4213-9672","observed_orcids":["https://orcid.org/0009-0008-4213-9672"]},"institutions":[{"id":"https://openalex.org/I172982924","display_name":"University College of Medical Sciences","ror":"https://ror.org/01h3fm945","country_code":"IN","type":"education","lineage":["https://openalex.org/I110166357","https://openalex.org/I172982924"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pragya Mitra","raw_affiliation_strings":["University College of Medical Sciences, Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University College of Medical Sciences, Delhi, India","institution_ids":["https://openalex.org/I172982924"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Deepak Kumar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Deepak Kumar","raw_affiliation_strings":["Department of Surgery"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068442122","display_name":"Anju Khairwa","orcid":"https://orcid.org/0000-0001-8514-422X","observed_orcids":["https://orcid.org/0000-0001-8514-422X"]},"institutions":[{"id":"https://openalex.org/I172982924","display_name":"University College of Medical Sciences","ror":"https://ror.org/01h3fm945","country_code":"IN","type":"education","lineage":["https://openalex.org/I110166357","https://openalex.org/I172982924"]},{"id":"https://openalex.org/I2802539864","display_name":"Guru Teg Bahadur Hospital","ror":"https://ror.org/02v8rz176","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2802539864"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Anju Khairwa","raw_affiliation_strings":["Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India","institution_ids":["https://openalex.org/I172982924","https://openalex.org/I2802539864"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5104279891","display_name":"Aneeket Modak","orcid":"https://orcid.org/0009-0008-0296-9110","observed_orcids":["https://orcid.org/0009-0008-0296-9110"]},"institutions":[{"id":"https://openalex.org/I172982924","display_name":"University College of Medical Sciences","ror":"https://ror.org/01h3fm945","country_code":"IN","type":"education","lineage":["https://openalex.org/I110166357","https://openalex.org/I172982924"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Aneeket Modak","raw_affiliation_strings":["University College of Medical Sciences, Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University College of Medical Sciences, Delhi, India","institution_ids":["https://openalex.org/I172982924"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.27759347,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"35","issue":"4","first_page":"680","last_page":"683"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":0.9345999956130981,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":0.9345999956130981,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13110","display_name":"Colorectal and Anal Carcinomas","score":0.05860000103712082,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10335","display_name":"Colorectal Cancer Surgical Treatments","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anal-melanoma","display_name":"anal melanoma","score":0.9909999966621399},{"id":"https://openalex.org/keywords/melanoma","display_name":"melanoma","score":0.5759999752044678},{"id":"https://openalex.org/keywords/anal-canal-neoplasms","display_name":"anal canal neoplasms","score":0.6840000152587891},{"id":"https://openalex.org/keywords/local-excision","display_name":"local excision","score":0.7960000038146973},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.8489999771118164},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8989999890327454},{"id":"https://openalex.org/keywords/rectal-bleeding","display_name":"rectal bleeding","score":0.6589999794960022},{"id":"https://openalex.org/keywords/inguinal-lymph-nodes","display_name":"inguinal lymph nodes","score":0.6769999861717224},{"id":"https://openalex.org/keywords/fine-needle-aspiration-cytology","display_name":"fine needle aspiration cytology","score":0.38600000739097595}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9732427597045898},{"id":"https://openalex.org/C2781074409","wikidata":"https://www.wikidata.org/wiki/Q158716","display_name":"Rectum","level":2,"score":0.5622875094413757},{"id":"https://openalex.org/C2778303017","wikidata":"https://www.wikidata.org/wiki/Q7998643","display_name":"Wide local excision","level":2,"score":0.5544018745422363},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.5449371337890625},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.5336305499076843},{"id":"https://openalex.org/C2777658100","wikidata":"https://www.wikidata.org/wiki/Q180614","display_name":"Melanoma","level":2,"score":0.5156230330467224},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44471338391304016},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.4157696068286896},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3213786780834198},{"id":"https://openalex.org/C502942594","wikidata":"https://www.wikidata.org/wiki/Q3421914","display_name":"Cancer research","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001005","descriptor_name":"Anus Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001706","descriptor_name":"Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008545","descriptor_name":"Melanoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008545","descriptor_name":"Melanoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008545","descriptor_name":"Melanoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012007","descriptor_name":"Rectum","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D012007","descriptor_name":"Rectum","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D012007","descriptor_name":"Rectum","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D012878","descriptor_name":"Skin Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012878","descriptor_name":"Skin Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012878","descriptor_name":"Skin Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.55519/jamc-04-12243","doi":"https://doi.org/10.55519/jamc-04-12243","is_oa":true,"landing_page_url":"https://doi.org/10.55519/jamc-04-12243","pdf_url":"https://jamc.ayubmed.edu.pk/index.php/jamc/article/download/12243/3642","source":{"id":"https://openalex.org/S2764835899","display_name":"Journal of Ayub Medical College Abbottabad","issn_l":"1025-9589","issn":["1025-9589","1819-2718"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4320800760","host_organization_name":"Ayub Medical College","host_organization_lineage":["https://openalex.org/P4320800760","https://openalex.org/P4404663249"],"host_organization_lineage_names":["Ayub Medical College","Khyber Medical University"],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College Abbottabad","raw_type":"journal-article"},{"id":"pmid:38406960","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38406960","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College, Abbottabad : JAMC","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.55519/jamc-04-12243","doi":"https://doi.org/10.55519/jamc-04-12243","is_oa":true,"landing_page_url":"https://doi.org/10.55519/jamc-04-12243","pdf_url":"https://jamc.ayubmed.edu.pk/index.php/jamc/article/download/12243/3642","source":{"id":"https://openalex.org/S2764835899","display_name":"Journal of Ayub Medical College Abbottabad","issn_l":"1025-9589","issn":["1025-9589","1819-2718"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4320800760","host_organization_name":"Ayub Medical College","host_organization_lineage":["https://openalex.org/P4320800760","https://openalex.org/P4404663249"],"host_organization_lineage_names":["Ayub Medical College","Khyber Medical University"],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College Abbottabad","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.8100000023841858}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4394758732.pdf","grobid_xml":"https://content.openalex.org/works/W4394758732.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2986779194","https://openalex.org/W2157260450","https://openalex.org/W2069533287","https://openalex.org/W2041959407","https://openalex.org/W2002721943","https://openalex.org/W2993882870","https://openalex.org/W196651854","https://openalex.org/W2939540407","https://openalex.org/W2022420507","https://openalex.org/W1968020394"],"abstract_inverted_index":{"A":[0],"50-year-old":[1],"lady":[2],"presented":[3],"with":[4,58,71,94],"complaints":[5],"of":[6,35,47,61,68,79,109],"a":[7,55,101,117],"progressively":[8],"increasing":[9],"anal":[10,29],"mass":[11,70],"and":[12,74,112],"occasional":[13],"bleeding":[14],"per":[15],"rectum":[16],"for":[17,97],"the":[18,28,69,85,107],"past":[19],"4":[20],"months.":[21],"Examination":[22],"revealed":[23,54],"an":[24],"ulcero-proliferative":[25],"growth":[26],"in":[27,89,116,121],"canal,":[30],"whose":[31],"biopsy":[32],"was":[33],"suggestive":[34],"malignant":[36,48],"melanoma.":[37],"Inguinal":[38],"lymph":[39],"nodes,":[40],"though":[41],"enlarged,":[42],"did":[43],"not":[44],"show":[45],"evidence":[46,60],"deposits":[49],"on":[50],"FNAC.":[51],"Radiological":[52],"investigations":[53],"T3":[56],"lesion":[57],"no":[59],"nodal":[62],"metastasis.":[63],"She":[64],"underwent":[65],"local":[66],"excision":[67],"uneventful":[72],"intraoperative":[73],"postoperative":[75],"periods.":[76],"The":[77],"purpose":[78],"this":[80,91],"report":[81],"is":[82],"to":[83],"highlight":[84],"formidable":[86],"challenges":[87],"encountered":[88],"diagnosing":[90],"rare":[92],"tumour,":[93],"potential":[95],"implications":[96],"misdiagnosis,":[98],"particularly":[99],"within":[100],"resource-poor":[102],"setting.":[103],"This":[104],"case":[105],"highlights":[106],"importance":[108],"resource-appropriate":[110],"approaches":[111],"surgical":[113],"options":[114],"available":[115],"tertiary":[118],"care":[119],"hospital":[120],"North":[122],"India.":[123]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2025-10-10T00:00:00"}
