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CORRESPONDENCE
Year : 2014  |  Volume : 10  |  Issue : 2  |  Page : 399-400

Merkel cell carcinoma: A rare presentation


Department of Surgery, I.P.G.M.E. and R/S.S.K.M Hospital, Kolkata, West Bengal, India

Correspondence Address:
Prosanta Kumar Bhattacharjee
Flat no. 5, 4th Floor, Suryatoran Apartments, 114/A, Barasat Road, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.136670

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A 33-year-old man presented with a lump at the right side of chest wall of 4 months duration which started bleeding suddenly from an ulcer at its center. Examination revealed a globular ulcerated mass 2 cm in diameter, on the anterior axillary fold, with adherent clot at its center. No regional lymphadenopathy was noted. Wide local excision with 2 cm margin was done. Biopsy report revealed malignant small round-cell tumor. Immunohistochemistry showed it to be cytokeratin-20-positive and S100-negative, suggesting the diagnosis of Merkel cell carcinoma. The patient did not receive any other adjuvant therapy. He is being followed-up for the last 4 years and has shown no features of recurrence so far.

Abstract in Chinese

一例罕见的默克尔细胞癌报道 摘要 患者男性,33岁,4个月前发现右胸壁有肿块,未引起重视。现该肿块中央溃疡出血。体格检查发现一个直径2cm的球形溃疡性肿块,腋前襞,中心有黏附的血凝块。没有发现区域淋巴结肿大。于病灶外缘2cm行扩大局部切除术。检查报告显示恶性小圆细胞肿瘤。免疫组化结果显示它是细胞角蛋白20阳性和S100阴性,表明默克尔细胞癌的诊断。患者没有接受任何其他的辅助治疗。近4年来他一直接受随访,目前为止没有复发。 关键词:默克尔细胞癌,根治性手术治疗,溃疡



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