Trabecular (Merkel cell) carcinoma of the skin: Treatment of primary, recurrent, and metastatic disease Journal Article


Authors: Raaf, J. H.; Urmacher, C.; Knapper, W. K.; Shiu, M. H.; Cheng, E. W. K.
Article Title: Trabecular (Merkel cell) carcinoma of the skin: Treatment of primary, recurrent, and metastatic disease
Abstract: Four new patients with trabecular (Merkel cell) carcinoma of the skin are described, and an additional 76 patients from the literature are reviewed. The mean age of the combined group of patients was 68; 84% were 60 years or older. Primary tumors appeared most frequently on the head and neck (44%), leg (28%), arm (16%), or buttock (9%). No primary tumor appeared on the trunk. The rate of local recurrence was 36%, regional metastatic disease, 53%; distant metastases, 28%; and death due to metastatic tumor (minimally), 25%. It appears that trabecular carcinoma of the skin is more aggressive and lethal than previously thought. The authors recommend that patients with this tumor undergo wide resection of the primary site and, in healthy patients, prophylactic regional node dissection. Both radiation therapy and chemotherapy are effective in palliating unresectable disease. Copyright © 1986 American Cancer Society
Keywords: aged; middle aged; prednisone; doxorubicin; fluorouracil; cancer combination chemotherapy; drug efficacy; chemotherapy; lymph node excision; adenocarcinoma; electron microscopy; metastasis; neoplasm recurrence, local; skin neoplasms; radiotherapy; skin cancer; cyclophosphamide; vincristine; histology; skin carcinoma; neoplasm metastasis; bleomycin; short survey; therapy; intravenous drug administration; streptozocin; merkel cell; trabecular carcinoma; humans; human; male; female; priority journal
Journal Title: Cancer
Volume: 57
Issue: 1
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1986-01-01
Start Page: 178
End Page: 182
Language: English
DOI: 10.1002/1097-0142(19860101)57:1<178::Aid-cncr2820570134>3.0.Co;2-t
PUBMED: 3940617
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
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MSK Authors
  1. Man-Hei Shiu
    44 Shiu
  2. Edgar Cheng
    16 Cheng