To the Editor: Merkel-cell carcinoma is a very rare small-cellcarcinoma of the skin.1 Probably derived from Merkel cells,the mechanoreceptors located in the basal layer of the epidermis,these tumors are asymptomatic, solitary, small red-purple subcutaneousnodules.2 Most are found in elderly persons at sites exposedto the sun. The two-year survival rate is about 50 percent.3As is the case for non-melanoma skin cancers, especially squamous-cellcancers, exposure to ultraviolet radiation and, possibly, ionizingradiation are risk factors for Merkel-cell carcinoma.
Since 1975, we have prospectively studied 1380 patients withpsoriasis who were treated with oral methoxsalen (psoralen). . . [Full Text of this Article]
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