Most Read Articles
30 Mar 2017
Stigmatization is likely among patients with psoriatic lesions on the back of their hands. They require effective treatment, particularly female patients as they are more sensitive to stigmatization, suggests a recent study.
Tristan Manalac, 15 Aug 2018
Chronic pruritus is a diverse and aetiologically complex skin condition and thus requires a similarly comprehensive treatment approach, according to Dr Siti Aisah who gave a lecture at the recently concluded 23rd Regional Conference of Dermatology (RCD 2018) in Surabaya, Indonesia.
Jairia Dela Cruz, 16 Aug 2018
Acidity of the skin appears to be significantly higher in atopic dermatitis (AD) patients than in controls without the condition, indicating that increased skin pH may heighten the risk of developing AD, according to a study.
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An association exists between stress and quality of life (QoL) in patients with psoriasis vulgaris, according to a poster presented at the 23rd Asian-Australasian Regional Conference of Dermatology (RCD 2018) held in Surabaya, Indonesia.

8 predictors of advanced-stage Merkel cell carcinoma at initial diagnosis

01 Oct 2018

There are several factors associated with advanced-stage Merkel cell carcinoma (MCC) at initial diagnosis and the use of radiation therapy (RT), a recent study has found.

Of the 11,917 patients identified, 3,152 and 4,586 patients were excluded from the staging and RT analyses, respectively, due to lack of available data.

The following factors predicted advanced-stage MCC at the time of initial diagnosis: African American ethnicity (odds ratio [OR], 1.49; 95 percent CI, 1.06–2.10; p=0.023), lack of medical insurance (OR, 2.15; 1.40–3.30; p<0.001), Charlson-Deyo comorbidity score of 1 (OR, 1.21; 1.08–1.34; p<0.001), residence of >26 miles from a treatment facility (OR, 1.18; 1.03–1.35; p=0.015), tumour located on the lower limb/hip (OR, 1.59; 1.42–1.78; p<0.001) or trunk (OR, 2.05; 1.81–2.33; p<0.001), and poorly (OR, 2.57; 1.13–5.82; p=0.024) or undifferentiated (OR, 3.11; 1.36–7.15; p=0.007) tumour histology.

Native American ethnicity (OR, 5.04; 1.10–22.99; p=0.037), tumour size of 1.5–2.7 cm (OR, 1.27; 1.10–1.47; p=0.001), electing not to have surgery (OR, 2.77; 1.90–4.03; p<0.001), positive postsurgical margins (OR, 1.39; 1.18–1.63; p<0.001), and receiving treatment at a comprehensive cancer programme (OR, 1.25; 1.03–1.50; p=0.020) were associated with the use of RT.

“Healthcare models should account for these factors, and efforts should be directed toward improving those that are modifiable,” the investigators said.

This study was a cross-sectional, retrospective analysis of patients with MCC registered in the National Cancer Database during the period from 2004 to 2013. Its research design limited the generalizability of the results, while the precise details of RT regimens used were not available.

“The stage of disease at initial diagnosis and the use of RT are important determinants of survival in patients with MCC,” the investigators said.

Editor's Recommendations
Most Read Articles
30 Mar 2017
Stigmatization is likely among patients with psoriatic lesions on the back of their hands. They require effective treatment, particularly female patients as they are more sensitive to stigmatization, suggests a recent study.
Tristan Manalac, 15 Aug 2018
Chronic pruritus is a diverse and aetiologically complex skin condition and thus requires a similarly comprehensive treatment approach, according to Dr Siti Aisah who gave a lecture at the recently concluded 23rd Regional Conference of Dermatology (RCD 2018) in Surabaya, Indonesia.
Jairia Dela Cruz, 16 Aug 2018
Acidity of the skin appears to be significantly higher in atopic dermatitis (AD) patients than in controls without the condition, indicating that increased skin pH may heighten the risk of developing AD, according to a study.
Stephen Padilla, 16 Aug 2018
An association exists between stress and quality of life (QoL) in patients with psoriasis vulgaris, according to a poster presented at the 23rd Asian-Australasian Regional Conference of Dermatology (RCD 2018) held in Surabaya, Indonesia.