Merkel cell cancer: update on biology and treatment.

Abstract:

PURPOSE OF REVIEW:This review highlights the most important developments in the biology and treatment of Merkel cell carcinoma published in the medical literature over the past year. RECENT FINDINGS:Adjuvant radiotherapy to the primary site with or without coverage of the nodal region is recommended in most older series, although a risk-adapted approach is more reasonable. Sentinel lymph node biopsy should be considered in all cases irrespective of primary size. If not feasible, prophylactic regional radiotherapy is recommended as the risk of regional relapse without nodal staging is about 45%. Adjuvant radiotherapy to nodal regions after lymphadenectomy is not studied in detail, but there is a suggestion from many series that the recurrence rate is high enough to justify its use. Recent research has revealed that adjuvant chemotherapy currently has no established role in the treatment of localized node-negative Merkel cell carcinoma. Its use in pathologically node-positive or recurrent cases requires further study. SUMMARY:Given the lack of randomized evidence and heterogeneity in published retrospective series, clinical judgment is required to assess risk factors of an individual patient to make treatment decisions.

journal_name

Curr Opin Oncol

authors

Tai P

doi

10.1097/CCO.0b013e3282f46d5d

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

196-200

issue

2

eissn

1040-8746

issn

1531-703X

pii

00001622-200803000-00009

journal_volume

20

pub_type

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