Table 1.
Summary of the Five Existing Staging Systems for MCC
| Study & year | Data | Stage I | Stage II | Stage III | Stage IV |
|---|---|---|---|---|---|
| Yiengpruksawan, et al. 1991 | 70 patients 1 institution | Local | Regional Nodal | Distant Metastatic | – |
| Allen, et al. 1999 | 190 patients 1 institution | IA: Local < 2 cm IB: Local ≥ 2cm |
Regional Nodal | Distant Metastatic | – |
| AJCC* (6th edition) 2002 | No data | Local ≤ 2cm | Local > 2 cm | Local extradermal deep invasion Regional Nodal | Distant Metastatic |
| Allen, et al. 2005 | 251 patients 1 institution | Local < 2cm | Local ≥ 2 cm | Regional Nodal | Distant Metastatic |
| Clark, et al. 2007 | 110 patients 3 institutions | Local ≤ 1cm | IIA: Local ≤ 1 cm & ≤ 2 positive regional lymph nodes IIB: Local ≥ 2cm |
> 2 positive regional lymph nodes | Distant Metastatic |
AJCC: American Joint Committee on Cancer;
Includes MCC with 82 other non-melanoma skin cancers in a chapter titled “Carcinoma of the Skin.”