Evidence map›Paper›PMID 41164124›Full record

SynthesisFrontiers in oncology2025

A comprehensive review and case series of adjuvant and neoadjuvant therapies in acral melanoma with emerging insights from CT DNA testing.

Adityanarayan Rao, Akash Mathavan, Akshay Mathavan, Bentley Doonan

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2025. 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

4 authors.

Adityanarayan RaoInternal Medicine Department, University of Florida Division of Internal Medicine, Gainesville, FL, United States.
Akash MathavanInternal Medicine Department, University of Florida Division of Internal Medicine, Gainesville, FL, United States.
Akshay MathavanInternal Medicine Department, University of Florida Division of Internal Medicine, Gainesville, FL, United States.
Bentley DoonanThe Mayo Clinic, Jacksonville, FL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Acral melanoma is a rare but aggressive type of skin cancer that appears on the hands, feet, and under the nails. Unlike other melanomas, it is not linked to sun exposure and has unique genetic features that may require different treatment strategies. This research aims to explore whether immunotherapy given before surgery (neoadjuvant therapy) or after surgery (adjuvant therapy) is more effective in improving patient outcomes. Methods: By analyzing existing studies, we hope to understand which approach better reduces the risk of cancer returning and improves survival. Results: Further, we assessed the clinical course and outcomes of adjuvant and neoadjuvant immunotherapy through a case series of five patients who underwent either intervention. Additionally, we examine how new blood tests that detect tumor DNA could help track treatment response and personalize therapy. Discussion: Our findings may guide doctors in selecting the best treatment plans, leading to improved care for patients with this challenging disease and advancing research into more effective therapies.

Indexed as

acral melanomaadjuvant immunotherapyCT DNA monitoringmelanomaneoadjuvant immunotherapies

Identifiers

PMID41164124
PMCPMC12558761

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.