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What is Merkel Cell Carcinoma?

The Merkel cells, which are located at the base of the epidermis (the outermost layer of the skin), are the source of Merkel cell carcinoma (MCC), an uncommon and aggressive form of skin cancer. These cells contribute to touch perception and are linked to nerve endings. When MCC develops on sun-exposed skin, it usually appears as a rapidly growing, painless nodule on the face, head, or neck.

What is the Importance of Timely Treatment?

Due to its high level of aggression and ability to spread quickly to other regions of the body (metastasise), Merkel Cell Carcinoma (MCC) must be treated promptly. Treatment effectiveness and better results are more likely to occur when the earlier MCC is identified and treated. Postponing treatment might cause the cancer to spread, making it harder to manage and decreasing the chances of survival.

The patient's quality of life can be significantly enhanced, metastases can be avoided, and the possibility of recurrence can be reduced with early intervention, usually through surgery, radiation, or immunotherapy.

Early identification and treatment are crucial for MCC patients to have the best chance of recovery.

What are the Common Symptoms of Merkel Cell Carcinoma?

  • A fast-growing, painless bump on the skin.
  • The nodule may vary in appearance and colour, mainly red, blue or purple.
  • A bump tends to grow rapidly for weeks to months.
  • It is mainly found on sun-exposed areas such as the face, head, neck, and arms but can appear anywhere on the body.
  • The bump may have asymmetrical borders and an uneven shape.

Causes and Risk Factors of Merkel Cell Carcinoma

The exact cause of Merkel cell carcinoma (MCC) isn't completely understood, but several factors are involved in its development:

Causes

  • Merkel Cell Polyomavirus (MCV) is found in the cancer cells of 80% of people suffering from MCC.
  • UV Radiations
  • Genetic Mutations

Risk Factors

  • Older Age
  • Fair Skin
  • Excessive Sun exposure
  • Weekend immune system due to chronic lymphocytic leukaemia, HIV and AIDS, or other conditions.
  • History of other skin cancer
  • Undergoing phototherapy, or light therapy, to treat skin conditions including psoriasis.

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Latest Research and Technologies in the Treatment of Merkel Cell Carcinoma in Turkey

Turkey has achieved notable progress in the diagnosis and management of Merkel Cell Carcinoma (MCC) by means of clinical research, immunotherapy, and multicentric investigations. Research has examined the contribution of particular viruses and UV exposure to the development of MCC, offering valuable information on the course of the disease. Immunotherapy has become a viable treatment option for advanced patients, especially when it comes to immune checkpoint inhibitors.

Merkel Cell Carcinoma Prevention Tips

Taking proactive steps to shield your skin from damaging UV rays and preserving the general health of your skin is key to preventing MCC. Here are some tips:

Sun Protection

  • Use sunscreen of a broad-spectrum with an SPF of not less than 30, even on cloudy days or while working indoors in front of laptops or computers.
  • Wear protective clothing
  • Stay in the shade when the UV radiation peaks from 10 am to 4 pm.
  • Avoid tanning beds. Instead, use a cosmetic spray tan.

Regular Skin Checks

  • Check for new moles or changes to existing ones on your skin regularly. Use the ABCDE rule to find suspect areas: Color change, asymmetry, uneven borders, diameter greater than 6 mm, and evolution.
  • Schedule a Skin examination with a dermatologist, especially if you have a family history of MCC.

Healthy Lifestyle

  • Maintain a balanced diet rich in fibres that include fruits, vegetables and antioxidants for overall skin health. Drink plenty of water or water containing fruits for skin hydration.

Treatment options for Merkel Cell Carcinoma

Generally, Merkel cell carcinoma (MCC) treatment depends upon your overall health and its stage.

Mohn Surgery: It's a precise procedure that preserves as much healthy tissue as possible while removing the tumour and skin layers.

Wide Local Excision: This procedure removes the tumour and some surrounding healthy tissue.

Lymphadenectomy (Lymph Node Dissection): Lymph nodes are removed if the cancer has spread to them.

Immunotherapy : Immunotherapy restores your immune system to help fight the cancer.


Cost Start From USD 7420 - USD 42500Explore Options

Radiation Therapy- Treatments using high-energy rays to target cancer cells and reduce tumour size are known as radiation therapy.

Chemotherapy : Advanced or metastatic MCC may be treated with conventional chemotherapy medications, although these are less frequently utilised than immunotherapy or targeted therapy. Chemotherapy kills cancer cells that divide quickly and can be given orally or intravenously.


Cost Start From USD 7420 - USD 30000Explore Options

Clinical Evaluation

  • Medical History: Assemble information about symptoms, medical history and risk factors involved.
  • Physical Examination: Check for the signs of unusual moles or skin colour changes.

Imaging Studies

  • Dermoscopy
  • CT Scan
  • PET Scan
  • X-ray
  • Magnetic Resonance Imaging

Biopsy

  • Excisional Biopsy
  • Punch Biopsy
  • Shave Biopsy

MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive rehabilitation services to support patients through Teleconsulations and online therapy sessions.

  • Lifestyle changes and modification:While lifestyle modifications like abstaining from alcohol and controlling stress improve wellbeing, dietary improvements that include high-fiber foods and supplements boost nutrition. Stress can be decreased and mental health can be enhanced with yoga and meditation.
  • Physical Rehabilitation: Post Mohn surgery, especially if a large area of skin is removed or lymph nodes are involved, physical rehabs like PT increases strength, flexibility and movement of the affected region. Scar management helps in managing scars and contractures.
  • Lymphedema Management: Lymphedema, or swelling brought on by fluid accumulation, can happen if lymph nodes are removed during MCC treatment, particularly in the arms or legs. Manual lymph exercises are performed to promote fluid movement.

Depending on the circumstances, your doctor might recommend medication to help manage your symptoms and complement the course of treatment.

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Hospitals for Merkel Cell Carcinoma in Turkey

Medicana Camlica Hospital: Top Doctors, and Reviews
Medicana Camlica Hospital

Istanbul, Turkey

Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 150 bedded Hospital
  • Specialty-based clinics
  • Fully-equipped patient rooms
Hisar Intercontinental Hospital: Top Doctors, and Reviews
Hisar Intercontinental Hospital

Istanbul, Turkey

Architecture of the Hospital designed as per the comfort of patients-

  • Consisting of 8 floors, 212 bed capacity
  • 75m2 suite rooms
  • 35 thousand m2 closed area
  • 7 operating rooms
  • 53 polyclinics
  • 54 Departments
  • Hotel-like patient rooms
  • Intensive care units consisting of 33 beds
  • Hyperbaric Oxygen Center inside the hospital
  • PYXIS computerized medicine system working with fingerprint
  • Social waiting areas
  • Indoor and Outdoor Cafeterias & Restaurants
Acibadem Kadikoy Hospital: Top Doctors, and Reviews
Acibadem Kadikoy Hospital

Istanbul, Turkey

Acibadem Kadikoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The number of beds in the hospital are 138 and Intensive Care beds are 23.
  • There are as many as 6.500 access points for a building control system.
  • There are 10 Operating theatres and more than 500 employees.
  • There are specific healthcare facilities in Acibadem Kadikoy Hospital, Istanbul, Turkey which have been established per integrated healthcare outreach such as Breast Health Center, Check-up Center, and Diabetes Clinic etc.
  • The hospital has the very best of Medical Technologies such as Flast CT, da Vinci robot, Magnetom Area MRI, Greenlight, Ortophos XG 3D and Full Body MRI, 4-Dimensional Breast Ultrasound, 3-Dimensional Tomosynthesis Digital Mammography.

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Why Choose Turkey for Treatment of Merkel Cell Carcinoma?

  • World-Class Healthcare Facilities: Turkey's modern hospitals and medical facilities have the newest technologies to spot and treat rare cancers like MCC. Many hospitals have dedicated Dermatology departments for skin care and surgery for MCC with experienced and skilled oncologist surgeons.
  • Affordable Treatment: Turkey offers MCC treatment at a substantially lesser cost than many Western nations without sacrificing care quality. Patients who receive top-notch care should anticipate significant cost reductions on everything from Mohs surgery to cutting-edge treatments like radiation and immunotherapy. Turkey is a well-liked medical tourism destination because of this cost advantage.
  • Comprehensive Treatment Options: Turkey provides a holistic approach to treating MCC, including immunotherapy, targeted treatments, radiation therapy, and surgical resection. New developments like gene treatments and tailored therapy are becoming more widely available to treat MCC better.
  • Advanced Diagnostic tools: Advanced diagnostic treatments like Lymphadenectomy and Mohs Surgery are available in Turkish hospitals to ensure precise diagnosis and treatment planning.
  • Post-Treatment and Rehabilitation Care: Patients with MCC can receive complete rehabilitation programs in Turkey that include mental support, dietary counselling, and physical therapy. Patients who receive ongoing care and follow-up services are guaranteed access to the emotional support and monitoring they require while recovering.

Frequently Asked Questions

Depending on the size of the tumour, the stage at diagnosis, and the extent of the cancer's spread, a person with Merkel Cell Carcinoma (MCC) may have a shorter life expectancy.

After radiation therapy and surgery, the prognosis for early-stage MCC is generally good, with a high survival rate. Despite recent dramatic improvements in survival rates due to immunotherapy and targeted treatments, the outlook for advanced or metastatic MCC can be more cautious.

Localised MCC has a 5-year survival rate of 60–80% overall, whereas advanced stages have a lower survival rate.

The neuroendocrine skin cancer known as Merkel cell carcinoma (MCC) is uncommon and highly aggressive. Its incidence is modest in Turkey however it has been rising recently.

MCC, or Merkel cell carcinoma, is characterised by its aggressiveness and quick proliferation. In addition to distant organs like the brain, liver, lungs, and bones, it can swiftly spread to neighbouring lymph nodes. Controlling the spread and enhancing results depend heavily on early detection and timely treatment.

Curing Merkel cell cancer (MCC) is possible, mainly if diagnosed early and treated. With a greater chance of successful treatment, the prognosis for localised MCC is better. However, when the cancer advances to more advanced stages, the likelihood of a cure declines.

There is little information on the prognosis of Merkel cell carcinoma (MCC), an uncommon but severe skin cancer, in Turkey. The importance of early detection and treatment is highlighted by the fact that 5-year survival rates vary significantly between countries according to the diagnosis stage.

The size, location, and presence or absence of lymph nodes of the tumour all affect recovery time following surgery for Merkel cell carcinoma (MCC) in Turkey.

Yes, Turkey has sophisticated diagnostic methods for Merkel cell cancer (MCC), such as sentinel lymph node biopsies, skin biopsies, and imaging tests, including CT and PET scans.

Turkey is a cost-effective choice for those seeking treatment because it provides top-notch medical care at affordable costs when compared to several Western nations.

Yes, Turkey's healthcare system accepts patients from abroad and provides excellent MCC treatments at many clinics and hospitals.

Yes, many Turkish hospitals offer in-person and online consultations to foreign patients who want a second opinion.