Merkel cell cancer surgery: Difference between revisions
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=== Mohs micrographic surgery === | === Mohs micrographic surgery === | ||
* [[Mohs micrographic surgery]] is indicated when considered cosmetic outcomes especially on sensitive body parts like face.<ref name="pmid9357504">{{cite journal |vauthors=O'Connor WJ, Roenigk RK, Brodland DG |title=Merkel cell carcinoma. Comparison of Mohs micrographic surgery and wide excision in eighty-six patients |journal=Dermatol Surg |volume=23 |issue=10 |pages=929–33 |date=October 1997 |pmid=9357504 |doi= |url=}}</ref> | * [[Mohs micrographic surgery]] is indicated when considered cosmetic outcomes especially on sensitive body parts like face.<ref name="pmid9357504">{{cite journal |vauthors=O'Connor WJ, Roenigk RK, Brodland DG |title=Merkel cell carcinoma. Comparison of Mohs micrographic surgery and wide excision in eighty-six patients |journal=Dermatol Surg |volume=23 |issue=10 |pages=929–33 |date=October 1997 |pmid=9357504 |doi= |url=}}</ref><ref name="pmid12451374">{{cite journal |vauthors=Boyer JD, Zitelli JA, Brodland DG, D'Angelo G |title=Local control of primary Merkel cell carcinoma: review of 45 cases treated with Mohs micrographic surgery with and without adjuvant radiation |journal=J. Am. Acad. Dermatol. |volume=47 |issue=6 |pages=885–92 |date=December 2002 |pmid=12451374 |doi=10.1067/mjd.2002.125083 |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 01:52, 23 January 2019
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Merkel cell cancer Microchapters |
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Treatment |
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Merkel cell cancer surgery On the Web |
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American Roentgen Ray Society Images of Merkel cell cancer surgery |
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Risk calculators and risk factors for Merkel cell cancer surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
The predominant therapy for Merkel cell cancer is surgical resection.
Surgery
- The initial standard approach for patients with merkel cell cancer is wide excision.
- According to:[1]
- European Dermatology Forum (EDF)
- European Association of Dermato-Oncology (EADO)
- European Organization of Research and Treatment of Cancer (EORTC) the primary tumour should be excised a margin of at least 1 to 2 cm of healthy tissue surrounding it is recommended.
- Overall survival rate in patients with merkel cell cancer increases dramatically by achieving negative margins during excision of the tumour.[2]
- Regional lymph nodes are often resection because they may contain cancer cells.
Mohs micrographic surgery
- Mohs micrographic surgery is indicated when considered cosmetic outcomes especially on sensitive body parts like face.[3][4]
References
- ↑ Lebbe C, Becker JC, Grob JJ, Malvehy J, Del Marmol V, Pehamberger H, Peris K, Saiag P, Middleton MR, Bastholt L, Testori A, Stratigos A, Garbe C (November 2015). "Diagnosis and treatment of Merkel Cell Carcinoma. European consensus-based interdisciplinary guideline". Eur. J. Cancer. 51 (16): 2396–403. doi:10.1016/j.ejca.2015.06.131. PMID 26257075.
- ↑ Tai PT, Yu E, Tonita J, Gilchrist J (October 2000). "Merkel cell carcinoma of the skin". J Cutan Med Surg. 4 (4): 186–95. doi:10.1177/120347540000400403. PMID 11231196.
- ↑ O'Connor WJ, Roenigk RK, Brodland DG (October 1997). "Merkel cell carcinoma. Comparison of Mohs micrographic surgery and wide excision in eighty-six patients". Dermatol Surg. 23 (10): 929–33. PMID 9357504.
- ↑ Boyer JD, Zitelli JA, Brodland DG, D'Angelo G (December 2002). "Local control of primary Merkel cell carcinoma: review of 45 cases treated with Mohs micrographic surgery with and without adjuvant radiation". J. Am. Acad. Dermatol. 47 (6): 885–92. doi:10.1067/mjd.2002.125083. PMID 12451374.