Advanced Merkel cell cancer and the elderly
Autor: | G. Wyse, S. T. O’Sullivan, B. R. Bird, Doreen A. Myers, O. S. Breathnach, S. M. Ryan |
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Rok vydání: | 2005 |
Předmět: |
Male
Oncology medicine.medical_specialty Skin Neoplasms medicine.medical_treatment Antineoplastic Agents Groin Carboplatin chemistry.chemical_compound Internal medicine medicine Merkel Cell Cancer Humans Knee Etoposide Aged Neoplasm Staging Chemotherapy integumentary system Merkel cell carcinoma business.industry General Medicine medicine.disease Carcinoma Merkel Cell Sentinel lymph node mapping chemistry Disease Progression Lymph Skin cancer business medicine.drug |
Zdroj: | Irish Journal of Medical Science. 174:58-60 |
ISSN: | 1863-4362 0021-1265 |
Popis: | Merkel cell cancer (MCC) is an uncommon neuroendocrine skin cancer occurring predominantly in elderly Caucasians. It tends to metastasize to regional lymph nodes and viscera and is sensitive to chemotherapy but recurs rapidly.To report one such case, its response to chemotherapy and briefly review the literature.A 73-year-old male with a fungating primary lesion on his left knee and ulcerated inguinal lymph nodes was diagnosed with MCC and treated with chemotherapy. The two largest case series and reviews of case reports were summarised.His ulcer healed after two cycles of carboplatin and etoposide with improvement in quality of life. Overall response rates of nearly 60% to chemotherapy are reported but median survival is only nine months with metastatic disease.Chemotherapy should be considered for fit elderly patients with MCC who have recurrent or advanced disease. |
Databáze: | OpenAIRE |
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