4.6 Review

Diagnosis and Management of Merkel Cell Carcinoma of the Head and Neck: Current Trends and Controversies

Journal

CANCERS
Volume 6, Issue 3, Pages 1256-1266

Publisher

MDPI
DOI: 10.3390/cancers6031256

Keywords

merkel cell carcinoma; skin malignancy; cutaneous neoplasm; head and neck cancer; cutaneous malignancy; skin cancer; neuroendocrine tumor

Categories

Ask authors/readers for more resources

Merkel cell carcinoma is an aggressive neuroendocrine cutaneous malignancy with a predilection for regional and distant metastasis. This malignancy presents most commonly on the head and neck of elderly Caucasian males, with a higher prevalence in the immunosuppressed. A high index of suspicion must be maintained due to the often asymptomatic presentation. Lip tumors, scalp tumors, local invasion, nodal metastasis, distant metastasis, and lymphovascular invasion are poor prognostic factors. Up to 8.7% of patients present with distant metastasis, and PET-CT is an accurate staging tool with a 90% sensitivity. Combined aggressive surgical resection with adjuvant radiotherapy affords the best regional control rates. The regional lymphatics must be addressed with either sentinel lymph node biopsy, surgery, or elective radiation due to the risk of occult metastasis. Addition of chemotherapy has no proven benefit in locoregional control.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Otorhinolaryngology

ABCLOVE: Voice therapy outcomes for patients with head and neck cancer

Laishyang Melody Ouyoung, Mark S. Swanson, Brenda Capobres Villegas, Dhanur Damodar, Niels Kokot, Uttam K. Sinha

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK (2016)

Article Otorhinolaryngology

Use of Octreotide for the Management of Chyle Fistula Following Neck Dissection

Mark S. Swanson, Rachael L. Hudson, Nipun Bhandari, Uttam K. Sinha, Dennis R. Maceri, Niels Kokot

JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY (2015)

Review Oncology

The Role of HPV in Head and Neck Cancer Stem Cell Formation and Tumorigenesis

Mark S. Swanson, Niels Kokot, Uttam K. Sinha

CANCERS (2016)

Article Radiology, Nuclear Medicine & Medical Imaging

Anatomically Anchored Template-Based Level Set Segmentation: Application to Quadriceps Muscles in MR Images from the Osteoarthritis Initiative

Jeffrey W. Prescott, Thomas M. Best, Mark S. Swanson, Furqan Haq, Rebecca D. Jackson, Metin N. Gurcan

JOURNAL OF DIGITAL IMAGING (2011)

Article Orthopedics

Semi-automated segmentation to assess the lateral meniscus in normal and osteoarthritic knees

M. S. Swanson, J. W. Prescott, T. M. Best, K. Powell, R. D. Jackson, F. Haq, M. N. Gurcan

OSTEOARTHRITIS AND CARTILAGE (2010)

Article Medicine, Research & Experimental

Contrast-Enhanced Ultrasound With Perflubutane for Sentinel Lymph Node Mapping in Cutaneous Melanoma: A Pilot Study

Caitlin Bertelsen, Kevin G. King, Mark Swanson, Vinay Duddalwar, Jon-Paul Pepper

LARYNGOSCOPE (2019)

Article Audiology & Speech-Language Pathology

Outcomes of Self-Esophageal Dilation for Head and Neck Cancer Patients

Uttam K. Sinha, Mark S. Swanson, Brenda Capobres Villegas, Laishyang Melody Ouyoung, Niels Kokot

AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY (2019)

Article Medicine, Research & Experimental

Association of insurance type with time course of care in head and neck cancer management

Kyohei Itamura, Niels Kokot, Uttam Sinha, Mark Swanson

LARYNGOSCOPE (2020)

Editorial Material Otorhinolaryngology

A Painless Retroauricular Mass

Kyohei Itamura, Mark Swanson

JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY (2020)

Article Dentistry, Oral Surgery & Medicine

Prevalence of oral human papillomavirus infections by race in the United States: An association with sexual behavior

Janet S. Choi, Liyang Tang, Alison J. Yu, Mark S. Swanson, Niels C. Kokot, Uttam K. Sinha

ORAL DISEASES (2020)

Review Otorhinolaryngology

Transoral surgery vs intensity-modulated radiotherapy for early supraglottic cancer: a systematic review

Mark S. Swanson, Garren Low, Uttam K. Sinha, Niels Kokot

CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY (2017)

No Data Available