PMID- 34287830 OWN - NLM STAT- MEDLINE DCOM- 20220421 LR - 20230502 IS - 1365-4632 (Electronic) IS - 0011-9059 (Print) IS - 0011-9059 (Linking) VI - 61 IP - 5 DP - 2022 May TI - Merkel cell carcinoma: treatment and outcomes over a 10-year period at a high-volume academic center. PG - 558-563 LID - 10.1111/ijd.15759 [doi] AB - BACKGROUND: Merkel cell carcinoma (MCC) is a rare, highly aggressive malignancy which lacks high-level evidence-based treatment guidelines. METHODS: To determine outcomes of MCC patients and assess the role of radiation in treatment, we performed a retrospective chart review of patients treated for MCC between 2006 and 2016 at a single high-volume academic medical center. The primary outcome was overall survival (OS) for the entire population and for those populations receiving specific therapies. RESULTS: Forty-two patients were evaluable. OS for all patients was not reached since most remain alive at time of analysis. OS for the American Joint Committee on Cancer (AJCC) stage I was not reached. OS for stages II, III, and IV was 37.3 months (6.8, -), 49.5 months (14.2, 49.5), and 14.5 months (10.8, -), respectively. OS could not be reached in the high radiotherapy (RT) dose group (biologically equivalent dose [BED] >/= 60) and was 49.5 months (10.8, -) in the low-dose group (BED < 60). For surgical margin status, OS was 14.9158 months (6.8008, -) for positive margins and 37.3 months (10.8, -) for negative margins. CONCLUSIONS: No conclusive findings for OS were identified; however, trends for improved OS were associated with lower AJCC staging, negative surgical margins, and high RT doses. CI - (c) 2021 the International Society of Dermatology. FAU - Nguyen, My-Lien AU - Nguyen ML AD - Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Mohammad-Zadeh, Ana AU - Mohammad-Zadeh A AD - College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Krempl, Greg AU - Krempl G AD - Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. AD - Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Razaq, Mohammad AU - Razaq M AD - Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. AD - Department of Internal Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Collins, Lindsey AU - Collins L AD - Department of Dermatology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Zahoor, Talal AU - Zahoor T AD - Department of Dermatology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Zhao, Daniel AU - Zhao D AD - Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. AD - Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. FAU - Henson, Christina AU - Henson C AUID- ORCID: 0000-0002-5419-4125 AD - Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. AD - Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. LA - eng GR - P30CA225520/National Cancer Institute Cancer Center/ GR - University of Oklahoma Stephenson Cancer Center/ GR - P30 CA225520/CA/NCI NIH HHS/United States GR - Oklahoma Tobacco Settlement Endowment Trust/ GR - Biostatistics and Research Design Shared Resource/ PT - Journal Article DEP - 20210720 PL - England TA - Int J Dermatol JT - International journal of dermatology JID - 0243704 SB - IM MH - *Carcinoma, Merkel Cell/radiotherapy MH - Humans MH - Margins of Excision MH - Neoplasm Staging MH - Radiotherapy, Adjuvant MH - Retrospective Studies MH - *Skin Neoplasms/radiotherapy MH - Treatment Outcome PMC - PMC8770723 MID - NIHMS1716511 COIS- Conflicts of Interest: None Declared EDAT- 2021/07/22 06:00 MHDA- 2022/04/22 06:00 PMCR- 2023/05/01 CRDT- 2021/07/21 13:08 PHST- 2021/04/21 00:00 [revised] PHST- 2021/01/29 00:00 [received] PHST- 2021/06/16 00:00 [accepted] PHST- 2021/07/22 06:00 [pubmed] PHST- 2022/04/22 06:00 [medline] PHST- 2021/07/21 13:08 [entrez] PHST- 2023/05/01 00:00 [pmc-release] AID - 10.1111/ijd.15759 [doi] PST - ppublish SO - Int J Dermatol. 2022 May;61(5):558-563. doi: 10.1111/ijd.15759. Epub 2021 Jul 20.