Table 1.
Characteristics of MCC patients treated with SMBT for in-transit cutaneous metastases
Patient No | Sex, age at diagnosis (yr) | Primary site | AJCC stage at diagnosis | Initial treatment (pre-SMBT) | Time to relapse* (mo**) | Chemo for in-transit metastases, No of chemo regimens (pre-SMBT) |
SMBT (cGy) |
In-field recurrence, time to recurrence (mo) |
Site of other recurrence (time to recurrence (mo)) |
SMBT for additional in-transit metastases |
Total lesions treated | Follow-up (mo**) | Status |
1 | M, 70 | R calf | IIA | WLE, LR-RT | 8 | N | 1200 | Y, 25 | In-Transit (19, 28), Distant (19) | N | 11 | 42 | DOD |
2 | M, 72 | R groin | IIIB | Chemo, R-RT | 12 | Y, 2 | 1200 | N | In-Transit (85) | Y | 8 | 85 | AWOD |
3 | M, 76 | R forehead | IIIA | WLE, LR-RT, chemo | 11 | N | 1200 | N | Regional (25, 26), Distant (36) | N | 4 | 36 | AWD |
4 | M, 81 | L forehead | IIIA | WLE, LR-RT | 10 | N | 1200 | N | Regional (23), Distant (27) | N | 2 | 32 | AWD |
5 | F, 63 | L calf | IIIA | WLE, LR-RT, chemo | 7 | Y, 1 | 1200 | N | In-Transit (13,15) | Y | 13 | 39 | AWOD |
6 | M, 63 | R thigh | IIA | WLE, LR-RT, chemo | 9 | N | 1200 | Y, 2 | In-Transit (16, 18, 19, 21, 24), Regional (24), Distant (24) | Y | 37 | 31 | DOD |
7 | F, 87 | R calf | IB | WLE | 6 | N | 1200 | N | In-Transit (7, 15), Regional (12) | Y | 3 | 26 | AWOD |
8 | F, 83 | L forearm | IB | WLE | 1 | N | 1200 | N | In-Transit (3, 5, 17, 20), Regional (20) Distant (5) | Y | 29 | 22 | DOD |
9 | F, 76 | R foot | IIIB | WLE, LR-RT, S-RT | 7 | N | 1200 | N | In-Transit (7, 11.5, 18), Regional (12), Distant (22) | N | 9 | 24 | DOD |
10 | M, 79 | L calf | IIIB | WLE | 45 | N | 1000 | N | In-Transit (45, 47, 49), Regional (49), Distant (58) | N | 36 | 58 | AWD |
The initial site of relapse for all patients was in-transit cutaneous metastases
Calculated from the time of diagnosis
WLE, wide local excision; LR-RT, loco-regional radiation therapy; R-RT, regional radiation therapy; S-RT, salvage radiation therapy; chemo, chemotherapy; AWOD, alive without disease; AWD, alive with disease; DOD, died of disease