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CURRENT ISSUEGIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases

Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014

Frequency: Bi-Monthly

ISSN 0392-0488

Online ISSN 1827-1820

 

Giornale Italiano di Dermatologia e Venereologia 2015 August;150(4):419-28

NON-MELANOMA SKIN CANCER 

Merkel cell carcinoma: a review

Verzì A. E. 1, Amin S. M. 2, Guitart J. 2, Micali G. 1

1 Dermatology Clinic, University of Catania, Catania, Italy;
2 Division of Dermatopathology, Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

Merkel cell carcinoma (MCC) is a rare aggressive primary cutaneous carcinoma with high mortality and rising incidence. The exact etiology of MCC remains unclear, but it is likely multifactorial with many factors playing a role, among these, ultraviolet radiation, immunosuppression, and recently, Merkel cell polyomavirus. Clinically MCC appears as an asymptomatic, firm, skin colored, sometimes reddish-blue, dome-shaped papule or plaque or subcutaneous nodule typically localized on the head and neck region that has grown rapidly. As its clinical presentation is generally non specific, the diagnosis relies on histological and immunohistochemical findings. Once diagnosis is established, adequate staging requires evaluation of regional and distant metastases. Treatment is based on multidisciplinary management although optimal therapy is controversial, at least in part due to a lack of quality data. Aggressive surgery frequently associated with adjuvant radiotherapy is used to improve the rates of locoregional recurrence and overall survival as well. Future targeted therapies may open new perspectives for the treatment of patients although high-quality, multicentre and randomized studies are needed. In this article, the current knowledge about MCC is reviewed and discussed.

language: English


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