array:23 [
  "pii" => "S1578219019301258"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.10.024"
  "estado" => "S300"
  "fechaPublicacion" => "2019-06-01"
  "aid" => "2108"
  "copyright" => "Elsevier España, S.L.U. and AEDV"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2019;110:337"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 35
    "HTML" => 35
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731018305052"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2018.10.011"
      "estado" => "S300"
      "fechaPublicacion" => "2019-06-01"
      "aid" => "2108"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2019;110:337"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 325
        "formatos" => array:2 [
          "HTML" => 212
          "PDF" => 113
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Comentarios Editoriales</span>"
        "titulo" => "Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "337"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Rising Incidence of Merkel Cell Carcinoma"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "B&#46; Llombart"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "Llombart"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219019301258"
          "doi" => "10.1016/j.adengl.2018.10.024"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301258?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018305052?idApp=UINPBA000044"
      "url" => "/00017310/0000011000000005/v1_201906020639/S0001731018305052/v1_201906020639/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219019301428"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.12.011"
    "estado" => "S300"
    "fechaPublicacion" => "2019-06-01"
    "aid" => "2142"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2019;110:338"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Commentaries</span>"
      "titulo" => "The Many Faces of Seborrheic Keratosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "338"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Las posibles mil caras de las queratosis seborreicas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Carrera"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Carrera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019300134"
        "doi" => "10.1016/j.ad.2018.12.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019300134?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301428?idApp=UINPBA000044"
    "url" => "/15782190/0000011000000005/v1_201906050857/S1578219019301428/v1_201906050857/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Commentaries</span>"
    "titulo" => "The Rising Incidence of Merkel Cell Carcinoma"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "337"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "B&#46; Llombart"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "B&#46;"
            "apellidos" => "Llombart"
            "email" => array:1 [
              0 => "Beatriz.llombart@uv.es"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Instituto Valenciano de Oncolog&#237;a&#44; Valencia&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Merkel cell carcinoma &#40;MCC&#41; is considered an orphan disease due to its very low incidence&#46; The article by Da&#241;ino-Garc&#237;a et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> reports on a series of 38 patients with MCC treated at their hospital over a period of 16 years&#46; The authors found a 116&#37; increase in the number of cases diagnosed in the second half of the study and also observed an increase in the age of diagnosis and the occurrence of tumors at atypical sites&#46; The increase in incidence is due to greater familiarity with the disease among dermatologists and pathologists and an increase in the at-risk population due to UV exposure&#44; aging&#44; and immunosuppression&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">MCC is a fast-growing&#44; highly aggressive tumor characterized by early lymph node metastasis and high mortality&#46; Mortality rates are much higher than for melanoma&#44; for example&#44; with a 10-year survival rate of 17&#46;7&#37; for MCC versus 61&#46;3&#37; for melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> The overall 24-month survival rate in this series of 38 patients was 69&#46;3&#37; and the strongest prognostic factor was lymph node metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Effective medical treatment is needed for metastatic MCC&#46; Conventional first-line chemotherapy is associated with response rates of between 30&#37; and 55&#37;&#44; but response is short-lived &#40;<span class="elsevierStyleBold">&#60;<span class="elsevierStyleHsp" style=""></span></span>5 months&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Second-line chemotherapy does not offer any significant survival benefit&#44; with a 12-month survival rate of 0&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> The European Medicines Agency recently approved avelumab for the treatment of metastatic MCC&#46; First-line avelumab induces rapid response in 62&#37; to 74&#37; of patients&#44; and 52&#37; of patients who receive this drug as second-line therapy are still alive at 12 months&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">3&#44;4</span></a> The emergence of these new immunotherapy agents brings new hope to patients with MCC&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Llombart B&#46; Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge&#46; Actas Dermosifiliogr&#46; 2019&#59;110&#58;337&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caracter&#237;sticas cl&#237;nico-epidemiol&#243;gicas del carcinoma de Merkel en una serie de 38 pacientes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Da&#241;ino-Garc&#237;a"
                            1 => "J&#46; Dom&#237;nguez-Cruz"
                            2 => "C&#46; P&#233;rez-Ruiz"
                            3 => "J&#46; Conejo-Mir"
                            4 => "J&#46;J&#46; Pereyra-Rodriguez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2018.09.007"
                      "Revista" => array:2 [
                        "tituloSerie" => "Actas Dermosifilogr"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of Merkel cell carcinoma and melanoma&#58; Results from the California Cancer Registry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Grabowski"
                            1 => "S&#46;L&#46; Saltzstein"
                            2 => "G&#46;R&#46; Salder"
                            3 => "Z&#46; Tahir"
                            4 => "S&#46; Blair"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Med Oncol"
                        "fecha" => "2008"
                        "volumen" => "2"
                        "paginaInicial" => "327"
                        "paginaFinal" => "333"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21892294"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-world treatment outcomes in patients with metastatic Merkel cell carcinoma treated with chemotherapy in the USA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46;L&#46; Cowey"
                            1 => "L&#46; Mahnke"
                            2 => "J&#46; Espirito"
                            3 => "C&#46; Helwig"
                            4 => "D&#46; Oksen"
                            5 => "M&#46; Bharmal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2217/fon-2017-0187"
                      "Revista" => array:6 [
                        "tituloSerie" => "Future Oncol"
                        "fecha" => "2017"
                        "volumen" => "13"
                        "paginaInicial" => "1699"
                        "paginaFinal" => "1710"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28605939"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of advanced Merkel cell carcinoma&#58; Current therapeutic options and novel immunotherapy approaches"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Femia"
                            1 => "N&#46; Prinzi"
                            2 => "A&#46; Anichini"
                            3 => "R&#46; Mortarini"
                            4 => "F&#46; Nichetti"
                            5 => "F&#46; Corti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Target Oncol"
                        "fecha" => "2018"
                        "volumen" => "13"
                        "paginaInicial" => "567"
                        "paginaFinal" => "582"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011000000005/v1_201906050857/S1578219019301258/v1_201906050857/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66476"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Commentaries"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011000000005/v1_201906050857/S1578219019301258/v1_201906050857/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301258?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Commentaries
The Rising Incidence of Merkel Cell Carcinoma
Carcinoma de células de Merkel, un tumor en auge
B. Llombart
Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, Spain
Leído
3525
Veces
se ha leído el artículo
1450
Total PDF
2075
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S1578219019301258"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.10.024"
  "estado" => "S300"
  "fechaPublicacion" => "2019-06-01"
  "aid" => "2108"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2019;110:337"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 35
    "HTML" => 35
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731018305052"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2018.10.011"
      "estado" => "S300"
      "fechaPublicacion" => "2019-06-01"
      "aid" => "2108"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2019;110:337"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 325
        "formatos" => array:2 [
          "HTML" => 212
          "PDF" => 113
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Comentarios Editoriales</span>"
        "titulo" => "Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "337"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Rising Incidence of Merkel Cell Carcinoma"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "B&#46; Llombart"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "Llombart"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219019301258"
          "doi" => "10.1016/j.adengl.2018.10.024"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301258?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018305052?idApp=UINPBA000044"
      "url" => "/00017310/0000011000000005/v1_201906020639/S0001731018305052/v1_201906020639/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219019301428"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.12.011"
    "estado" => "S300"
    "fechaPublicacion" => "2019-06-01"
    "aid" => "2142"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2019;110:338"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Commentaries</span>"
      "titulo" => "The Many Faces of Seborrheic Keratosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "338"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Las posibles mil caras de las queratosis seborreicas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Carrera"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Carrera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019300134"
        "doi" => "10.1016/j.ad.2018.12.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019300134?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301428?idApp=UINPBA000044"
    "url" => "/15782190/0000011000000005/v1_201906050857/S1578219019301428/v1_201906050857/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Commentaries</span>"
    "titulo" => "The Rising Incidence of Merkel Cell Carcinoma"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "337"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "B&#46; Llombart"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "B&#46;"
            "apellidos" => "Llombart"
            "email" => array:1 [
              0 => "Beatriz.llombart@uv.es"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Instituto Valenciano de Oncolog&#237;a&#44; Valencia&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Merkel cell carcinoma &#40;MCC&#41; is considered an orphan disease due to its very low incidence&#46; The article by Da&#241;ino-Garc&#237;a et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> reports on a series of 38 patients with MCC treated at their hospital over a period of 16 years&#46; The authors found a 116&#37; increase in the number of cases diagnosed in the second half of the study and also observed an increase in the age of diagnosis and the occurrence of tumors at atypical sites&#46; The increase in incidence is due to greater familiarity with the disease among dermatologists and pathologists and an increase in the at-risk population due to UV exposure&#44; aging&#44; and immunosuppression&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">MCC is a fast-growing&#44; highly aggressive tumor characterized by early lymph node metastasis and high mortality&#46; Mortality rates are much higher than for melanoma&#44; for example&#44; with a 10-year survival rate of 17&#46;7&#37; for MCC versus 61&#46;3&#37; for melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> The overall 24-month survival rate in this series of 38 patients was 69&#46;3&#37; and the strongest prognostic factor was lymph node metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Effective medical treatment is needed for metastatic MCC&#46; Conventional first-line chemotherapy is associated with response rates of between 30&#37; and 55&#37;&#44; but response is short-lived &#40;<span class="elsevierStyleBold">&#60;<span class="elsevierStyleHsp" style=""></span></span>5 months&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Second-line chemotherapy does not offer any significant survival benefit&#44; with a 12-month survival rate of 0&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> The European Medicines Agency recently approved avelumab for the treatment of metastatic MCC&#46; First-line avelumab induces rapid response in 62&#37; to 74&#37; of patients&#44; and 52&#37; of patients who receive this drug as second-line therapy are still alive at 12 months&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">3&#44;4</span></a> The emergence of these new immunotherapy agents brings new hope to patients with MCC&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Llombart B&#46; Carcinoma de c&#233;lulas de Merkel&#44; un tumor en auge&#46; Actas Dermosifiliogr&#46; 2019&#59;110&#58;337&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caracter&#237;sticas cl&#237;nico-epidemiol&#243;gicas del carcinoma de Merkel en una serie de 38 pacientes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Da&#241;ino-Garc&#237;a"
                            1 => "J&#46; Dom&#237;nguez-Cruz"
                            2 => "C&#46; P&#233;rez-Ruiz"
                            3 => "J&#46; Conejo-Mir"
                            4 => "J&#46;J&#46; Pereyra-Rodriguez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2018.09.007"
                      "Revista" => array:2 [
                        "tituloSerie" => "Actas Dermosifilogr"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of Merkel cell carcinoma and melanoma&#58; Results from the California Cancer Registry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Grabowski"
                            1 => "S&#46;L&#46; Saltzstein"
                            2 => "G&#46;R&#46; Salder"
                            3 => "Z&#46; Tahir"
                            4 => "S&#46; Blair"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Med Oncol"
                        "fecha" => "2008"
                        "volumen" => "2"
                        "paginaInicial" => "327"
                        "paginaFinal" => "333"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21892294"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-world treatment outcomes in patients with metastatic Merkel cell carcinoma treated with chemotherapy in the USA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46;L&#46; Cowey"
                            1 => "L&#46; Mahnke"
                            2 => "J&#46; Espirito"
                            3 => "C&#46; Helwig"
                            4 => "D&#46; Oksen"
                            5 => "M&#46; Bharmal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2217/fon-2017-0187"
                      "Revista" => array:6 [
                        "tituloSerie" => "Future Oncol"
                        "fecha" => "2017"
                        "volumen" => "13"
                        "paginaInicial" => "1699"
                        "paginaFinal" => "1710"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28605939"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of advanced Merkel cell carcinoma&#58; Current therapeutic options and novel immunotherapy approaches"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46; Femia"
                            1 => "N&#46; Prinzi"
                            2 => "A&#46; Anichini"
                            3 => "R&#46; Mortarini"
                            4 => "F&#46; Nichetti"
                            5 => "F&#46; Corti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Target Oncol"
                        "fecha" => "2018"
                        "volumen" => "13"
                        "paginaInicial" => "567"
                        "paginaFinal" => "582"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011000000005/v1_201906050857/S1578219019301258/v1_201906050857/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66476"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Commentaries"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011000000005/v1_201906050857/S1578219019301258/v1_201906050857/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301258?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 11 10 21
2024 Octubre 65 29 94
2024 Septiembre 67 18 85
2024 Agosto 107 63 170
2024 Julio 70 23 93
2024 Junio 73 27 100
2024 Mayo 63 31 94
2024 Abril 59 21 80
2024 Marzo 61 24 85
2024 Febrero 44 28 72
2024 Enero 58 32 90
2023 Diciembre 40 14 54
2023 Noviembre 62 24 86
2023 Octubre 52 30 82
2023 Septiembre 37 28 65
2023 Agosto 27 13 40
2023 Julio 33 34 67
2023 Junio 36 21 57
2023 Mayo 33 21 54
2023 Abril 28 28 56
2023 Marzo 27 19 46
2023 Febrero 31 24 55
2023 Enero 29 21 50
2022 Diciembre 33 27 60
2022 Noviembre 27 34 61
2022 Octubre 27 22 49
2022 Septiembre 19 34 53
2022 Agosto 28 40 68
2022 Julio 22 36 58
2022 Junio 23 27 50
2022 Mayo 33 27 60
2022 Abril 38 34 72
2022 Marzo 35 65 100
2022 Febrero 36 22 58
2022 Enero 34 40 74
2021 Diciembre 25 28 53
2021 Noviembre 37 40 77
2021 Octubre 36 56 92
2021 Septiembre 28 38 66
2021 Agosto 25 21 46
2021 Julio 20 18 38
2021 Junio 17 12 29
2021 Mayo 20 32 52
2021 Abril 47 49 96
2021 Marzo 55 16 71
2021 Febrero 50 29 79
2021 Enero 25 8 33
2020 Diciembre 15 13 28
2020 Noviembre 10 8 18
2020 Octubre 11 10 21
2020 Septiembre 29 6 35
2020 Agosto 24 11 35
2020 Julio 26 12 38
2020 Junio 21 21 42
2020 Mayo 16 12 28
2020 Abril 16 8 24
2020 Marzo 18 11 29
2020 Febrero 1 0 1
2019 Noviembre 35 0 35
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?