598 results match your criteria: "Merkel Cell Tumors of the Head and Neck"

Polyomaviruses and the risk of oral cancer: a systematic review and meta-analysis.

BMC Oral Health

December 2024

Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

Objectives: Oral cancer (OC) is the most common malignant tumor of the head and neck (HN) and ranks 16th among the most frequently diagnosed cancers worldwide. A systematic review and meta-analysis aimed to provide an evidence-based analysis of the relationship between polyomaviruses and oral cancer.

Methods: The global online databases was used to identify relevant studies published between January 2000 and September 2024.

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Merkel cell carcinoma (MCC) is an aggressive cutaneous neuroendocrine neoplasia. MCC complete spontaneous regression (CRS) has been linked to good prognosis. We conducted a retrospective review of a single-center cohort of MCC patients to analyze the characteristics of patients and tumors that exhibited regression.

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Prevalence of Human Polyomaviruses in Oral and Oropharyngeal Squamous Cell Carcinoma From Patients Treated at a Cancer Center in Sao Paulo, Brazil.

J Med Virol

December 2024

Postgraduate Program in Translational Medicine, Departament of Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.

Article Synopsis
  • This study focuses on the presence of human polyomaviruses (HPyV) in head and neck squamous cell carcinoma (SCC) samples, particularly examining the role of these viruses alongside traditional risk factors like smoking and alcohol.
  • Researchers analyzed 60 samples from different mouth and throat areas for four types of HPyV, finding a 60% positivity rate for JCPyV and low rates for MCPyV (5%) with no instances of BKPyV or TSPyV.
  • The study concluded that while JCPyV is commonly present in oral cavity and oropharyngeal SCC, no strong links to patient demographics or clinical characteristics were found, except for a notable association between JCP
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Article Synopsis
  • The study aimed to assess the safety and effectiveness of a specific radiation treatment for cervical lymph node cancers in older, frail patients, using a hypofractionated approach.
  • A total of 43 patients were analyzed, primarily males with a median age of 83, receiving varying degrees of acute side effects from the treatment, with a majority experiencing radiodermatitis and some needing enteral nutrition.
  • After treatment, about 26% of patients had a complete response to the radiation at a median follow-up of 9.2 months, with no severe long-term toxicity reported after three months.
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A multivariable disease-specific model enhances prognostication beyond current Merkel cell carcinoma staging: An international cohort study of 10,958 patients.

J Am Acad Dermatol

November 2024

Translation and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK; Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle Upon Tyne Hospital NHS Foundation Trust (NuTH), Newcastle upon Tyne, UK.

Article Synopsis
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Human oncogenic viruses: a focus on head and neck carcinogenesis: a systematic review and meta-analysis.

Oral Surg Oral Med Oral Pathol Oral Radiol

October 2024

Department of Oral Diagnosis, Semiology and Oral Pathology Areas, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil. Electronic address:

Article Synopsis
  • This systematic review investigated the connection between oncoviruses and head and neck cancers (HNC).
  • Researchers analyzed studies from five databases and assessed their reliability using established guidelines.
  • The findings revealed a significant relationship between certain oncoviruses, particularly HPV-16, HPV-18, and Epstein-Barr virus, and the development of HNC, while further research is needed on other viruses like human cytomegalovirus and Merkel Cell Polyomavirus.
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The objective of our research was to determine the effects of xanthohumol (XN), a flavonoid isolated from hops (), and the anti-inflammatory drug niflumic acid (NA), separately and in combination with each other, on the proliferation of human cancer cells. Additionally, so as to understand the mechanism underlying the anticancer properties of the tested compounds, their effects on the biophysical parameters of a model membrane were assessed. The cells were incubated with XN and NA at various concentrations, either individually or in combination with each other.

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The parotid gland is a rare site for distant metastasis. We aim to provide an overview of metastatic tumours to the parotid over the past 20 years, focusing on clinicopathological analysis of 14 rare diagnoses. To the best of our knowledge, we are the first group to present the most up-to-date and largest case series on unusual metastases to the parotid.

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Wnt/β-Catenin-Activated Nonpilomatrical Carcinoma of the Skin: A Case Series.

Mod Pathol

November 2024

Department of Pathology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France; "Biologie des infections à polyomavirus" Team, UMR INRA ISP 1282, Université de Tours, Tours, France.

Article Synopsis
  • The study investigates 16 primary cutaneous carcinomas with mutations in genes that activate the Wnt/β-catenin pathway, noting that these tumors lack matrical differentiation, which is typically associated with such mutations.
  • The tumors predominantly affected elderly patients, with a median age of 80, and were mainly located on the head, neck, and upper limbs, leading to metastatic cases in some patients.
  • Key findings include poor differentiation in tumor structure, distinct immunohistochemical profiles, and recurrent mutations in APC and CTNNB1, indicating that these tumors represent a unique group apart from other established skin tumor types.
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Background: Merkel cell carcinoma (MCC) is an uncommon skin cancer that in more than 90 % of cases develops within the head and neck region. MCC is an aggressive disease with a dismal prognosis before the advent of immunotherapy. Avelumab, an anti-PDL1 agent is approved since 2017 for the treatment of advanced MCC after demonstrating a high response rate and favorable impact in survival.

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Merkel cell carcinoma (MCC) is an aggressive neuroendocrine skin cancer with a ∼50% response rate to immune checkpoint blockade (ICB) therapy. To identify predictive biomarkers, we integrated bulk and single-cell RNA sequencing (RNA-seq) with spatial transcriptomics from a cohort of 186 samples from 116 patients, including bulk RNA-seq from 14 matched pairs pre- and post-ICB. In nonresponders, tumors show evidence of increased tumor proliferation, neuronal stem cell markers, and IL1.

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Presence of herpesviruses, parvoviruses, and polyomaviruses in sinonasal lymphoma.

Eur Arch Otorhinolaryngol

August 2024

Department of Otorhinolaryngology, Head and Neck Surgery, Head and Neck Center, Helsinki University Hospital and University of Helsinki, POB 263, 00029 HUS, Helsinki, Finland.

Purpose: Sinonasal lymphoma (SL) is a rare lymphatic neoplasm of the nasal cavities, paranasal sinuses and nasopharynx. Whereas some risk factors for SL subtypes have been identified, their aetiology is unknown. Along with other predisposing factors, the viral association of lymphomas, such as Epstein-Barr virus (EBV) and Burkitt and Hodgkin lymphomas, is well-established.

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Article Synopsis
  • * In a study of 630 fine needle aspirations (FNAs) over ten years, 12.4% were found to be malignant, with 63.75% of those being metastases, including melanoma, SCC, renal, breast, lung, intestinal, and others.
  • * Fine needle aspiration is crucial for diagnosing metastatic lesions in the parotid glands and helps guide management, with immunocytochemistry (ICC) improving diagnostic accuracy.
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Article Synopsis
  • - The JAVELIN Merkel 200 study showed that avelumab, an anti-PD-L1 antibody, is effective as a first-line treatment for metastatic Merkel cell carcinoma (mMCC), leading to its approval and inclusion in treatment guidelines.
  • - In the study, 116 patients were followed for an average of 54.3 months, revealing a median overall survival of 20.3 months and a 4-year survival rate of 38%, with rates differing between PD-L1 positive and negative tumors.
  • - Results suggest that avelumab offers significant long-term survival benefits compared to traditional chemotherapy, reinforcing its status as a standard treatment option for mMCC.
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Interdisciplinary management of skin cancer.

Laryngorhinootologie

May 2024

Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Leipzig, Leipzig, Deutschland.

The interdisciplinary treatment of skin cancer in the head and neck area requires close collaboration between different specialist disciplines. The most common non-melanoma skin cancer tumor entities are cutaneous squamous cell carcinoma and basal cell carcinoma as well as their precursor lesions. One of the less common tumors is Merkel cell carcinoma, which also occurs primarily in light-exposed areas and, in contrast to squamous and basal cell carcinoma, is more likely to metastasize.

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Article Synopsis
  • Merkel cell carcinoma (MCC) is an aggressive cancer with bad outcomes, and the study focused on the potential of a blood test (AMERK) to predict patient survival based on the presence of antibodies against Merkel cell polyomavirus.
  • In a study of 261 patients, nearly half were seropositive, and results showed that those with positive AMERK tests had significantly better survival rates, particularly in patients with localized disease.
  • The findings suggest that measuring MCPyV antibodies could help personalize treatments and improve risk assessment for MCC patients, though the study has limitations due to its retrospective nature.
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Metastatic merkel cell carcinoma to the thyroid gland: Case report and review of the literature.

Am J Otolaryngol

June 2024

THANC (Thyroid, Head & Neck Cancer) Foundation, New York, NY, USA; Dept. of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: Merkel cell carcinoma (MCC) is an aggressive and rare neuroendocrine tumor, accounting for less than 1% of skin cancers. Metastasis primarily manifests in the cervical lymph nodes but rarely affect the thyroid.

Methods: We report a case of primary head and neck cutaneous MCC with metastasis to the thyroid gland.

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Background: Human papillomavirus (HPV) is an increasing risk factor for cancer. HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) is associated with a favorable outcome. Blockstaining for p16 is a surrogate marker for HPV+ OPSCC.

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Introduction Merkel cell carcinoma is an aggressive neuroendocrine tumor that is related to immunosuppression and the Merkel cell polyomavirus. It is more common on the head and neck and has been associated with other skin malignancies such as basal cell carcinoma, squamous cell carcinoma, and melanoma. However, there has never been a nationwide investigation that quantifies Merkel cell carcinoma's connection with these subgroups.

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Article Synopsis
  • The study aimed to assess the effectiveness of post-operative radiotherapy (PORT) on patients with head and neck Merkel cell carcinoma (HNMCC) based on their nodal status.
  • It analyzed data from the SEER database, covering 752 patients who underwent surgery for HNMCC, using sophisticated statistical methods to ensure balanced comparisons between those who received PORT and those who did not.
  • Results indicated that PORT improved overall and disease-specific survival for node-positive patients but negatively impacted disease-specific survival for node-negative patients, suggesting the need for tailored treatment strategies.
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Double Primary Cancers of Earlobe Merkel Cell Carcinoma and Lung Adenocarcinoma.

J Audiol Otol

July 2024

Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Article Synopsis
  • - Merkel cell carcinoma (MCC) is a rare but aggressive skin cancer known for spreading quickly, often requiring biopsy for diagnosis rather than being detected during routine exams.
  • - A case study is presented involving a 54-year-old woman diagnosed with MCC in her earlobe, which was later found to be accompanied by lung adenocarcinoma.
  • - After surgical treatment for both cancers and subsequent chemotherapy and radiotherapy, the patient has shown no signs of cancer recurrence for three years post-surgery.
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Head and neck nonmelanoma skin cancers: surgical management and debated issues.

Curr Opin Otolaryngol Head Neck Surg

April 2024

Unit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili, Department of Surgical and Medical Specialties, Radiological Sciences, and Public Health, University of Brescia, School of Medicine, Brescia, Italy.

Purpose Of Review: This review critically assesses the current literature and guidelines, aiming to clarify some of the most important factors that impact surgical strategies of head and neck nonmelanoma skin cancers (NMSCs), focusing on squamous, basal, and Merkel cell carcinomas.

Recent Findings: Recent developments underscore the complexity of treatment for NMSC, particularly in the head and neck region. There is a lack of high-level evidence for the management of these tumors, especially in advanced stages.

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Purpose: The role of postoperative radiation therapy (PORT) in early stage Merkel cell carcinoma (MCC) is controversial. We analyzed the role of PORT in preventing local recurrences (LR) among patients with low-risk, pathologic stage I MCC based on the location of the primary tumors: head/neck (HN) versus non-HN sites.

Methods And Materials: One hundred forty-seven patients with MCC were identified that had "low risk" disease (pathologic T1 primary tumor, negative microscopic margins, negative pathologic node status, no immunosuppression or prior systemic therapy).

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