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Related Concept Videos

Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...

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Merkel Cell Polyomavirus Infection and Detection
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Merkel Cell Polyomavirus Infection and Detection

Published on: February 7, 2019

Merkel cell carcinoma: review.

Melissa P Pulitzer1, Bijal D Amin, Klaus J Busam

  • 1Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.

Advances in Anatomic Pathology
|April 28, 2009
PubMed
Summary

Merkel cell carcinoma (MCC), a rare skin cancer, often affects older adults and immunosuppressed individuals. Diagnosis requires distinguishing it from other small cell tumors, with surgery and radiation as primary treatments.

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Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Merkel cell carcinoma (MCC) is a rare primary cutaneous neuroendocrine carcinoma.
  • It disproportionately affects elderly Caucasians and immunosuppressed individuals.
  • A novel polyomavirus association has reignited interest in MCC pathogenesis.

Purpose of the Study:

  • To summarize the key aspects of Merkel cell carcinoma.
  • To highlight diagnostic challenges and therapeutic options.

Main Methods:

  • Review of existing literature on Merkel cell carcinoma.
  • Analysis of typical and atypical histologic and cytologic features.
  • Discussion of treatment modalities and staging.

Main Results:

  • MCC presents with neuroendocrine features, often CK20 positive, but can have variable presentations.
  • Differential diagnosis includes other small cell cutaneous and metastatic tumors.
  • Surgical excision is the primary treatment, with radiation therapy also effective.

Conclusions:

  • Accurate diagnosis of MCC is crucial and can be challenging due to varied presentations.
  • Multidisciplinary approach involving surgery, radiation, and staging (sentinel lymph node biopsy) is essential for patient management.