Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis

Background: Cumulative data on radiation monotherapy for Merkel cell carcinoma (MCC) is lacking. Objective: We sought to synthesize all available data on treatment outcomes for radiation monotherapy for inoperable stage I-III MCC. Methods: We performed a systematic review of the current liter...

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Autores principales: Parth Patel, Chirag Modi, Beth McLellan, Nitin Ohri
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Lenguaje:EN
Publicado: Mattioli1885 2018
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spelling oai:doaj.org-article:ac83a7cd24ef40359c96133ff39de7ab2021-11-17T08:30:11ZRadiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis2160-9381https://doaj.org/article/ac83a7cd24ef40359c96133ff39de7ab2018-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/433https://doaj.org/toc/2160-9381 Background: Cumulative data on radiation monotherapy for Merkel cell carcinoma (MCC) is lacking. Objective: We sought to synthesize all available data on treatment outcomes for radiation monotherapy for inoperable stage I-III MCC. Methods: We performed a systematic review of the current literature. Articles published in English in the PUBMED database up to July 29, 2016 were evaluated. Results: Eight case reports, 4 case series, and 6 retrospective studies, yielding 68 patients, were included in our analysis. Of the 24 stage I/II patients treated with local irradiation, 6 (25%) relapsed and 1 (4%) died from MCC. Of the 24 stage I/II patients treated with local and regional nodal irradiation, 5 (21%) relapsed and 2 (8%) died from MCC. Of the 20 stage III patients treated with local and regional nodal irradiation, 12 (60%) relapsed and 7 (35%) died from MCC. Conclusions: Radiation monotherapy appears to be a reasonable treatment modality for patients with inoperable stage I-III MCC. Further investigation with prospective studies is needed to draw definitive conclusions. Parth PatelChirag ModiBeth McLellanNitin OhriMattioli1885articleMerkel cell carcinomaradiotherapyinoperablerelapsesurvivalDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 8, Iss 1 (2018)
institution DOAJ
collection DOAJ
language EN
topic Merkel cell carcinoma
radiotherapy
inoperable
relapse
survival
Dermatology
RL1-803
spellingShingle Merkel cell carcinoma
radiotherapy
inoperable
relapse
survival
Dermatology
RL1-803
Parth Patel
Chirag Modi
Beth McLellan
Nitin Ohri
Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
description Background: Cumulative data on radiation monotherapy for Merkel cell carcinoma (MCC) is lacking. Objective: We sought to synthesize all available data on treatment outcomes for radiation monotherapy for inoperable stage I-III MCC. Methods: We performed a systematic review of the current literature. Articles published in English in the PUBMED database up to July 29, 2016 were evaluated. Results: Eight case reports, 4 case series, and 6 retrospective studies, yielding 68 patients, were included in our analysis. Of the 24 stage I/II patients treated with local irradiation, 6 (25%) relapsed and 1 (4%) died from MCC. Of the 24 stage I/II patients treated with local and regional nodal irradiation, 5 (21%) relapsed and 2 (8%) died from MCC. Of the 20 stage III patients treated with local and regional nodal irradiation, 12 (60%) relapsed and 7 (35%) died from MCC. Conclusions: Radiation monotherapy appears to be a reasonable treatment modality for patients with inoperable stage I-III MCC. Further investigation with prospective studies is needed to draw definitive conclusions.
format article
author Parth Patel
Chirag Modi
Beth McLellan
Nitin Ohri
author_facet Parth Patel
Chirag Modi
Beth McLellan
Nitin Ohri
author_sort Parth Patel
title Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
title_short Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
title_full Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
title_fullStr Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
title_full_unstemmed Radiotherapy for inoperable Merkel cell carcinoma: a systematic review and pooled analysis
title_sort radiotherapy for inoperable merkel cell carcinoma: a systematic review and pooled analysis
publisher Mattioli1885
publishDate 2018
url https://doaj.org/article/ac83a7cd24ef40359c96133ff39de7ab
work_keys_str_mv AT parthpatel radiotherapyforinoperablemerkelcellcarcinomaasystematicreviewandpooledanalysis
AT chiragmodi radiotherapyforinoperablemerkelcellcarcinomaasystematicreviewandpooledanalysis
AT bethmclellan radiotherapyforinoperablemerkelcellcarcinomaasystematicreviewandpooledanalysis
AT nitinohri radiotherapyforinoperablemerkelcellcarcinomaasystematicreviewandpooledanalysis
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