Merkel cell carcinoma. Report of a case with an atypical location and presentation

Merkel cell tumour is a rare skin tumour of high malignancy, poor prognosis and low survival. It is characterized by its tendency to lymph node and vascular invasion and by a high percentage of locoregional recurrence in the year following surgical removal. It affects adults between 60 and 80 years...

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Published inRevista española de cirugía ortopédica y traumatología Vol. 63; no. 4; pp. 313 - 315
Main Authors Fernández-Regueiro, R., Suárez-Sánchez, F.J., Morís-de la-Tassa, J.
Format Journal Article
LanguageEnglish
Published Spain Elsevier España, S.L.U 01.07.2019
Subjects
Aged, 80 and over
Atypical presentation
Buttocks
Carcinoma de células de Merkel
Carcinoma, Merkel Cell - diagnostic imaging
Carcinoma, Merkel Cell - pathology
Humans
Magnetic Resonance Imaging
Male
Merkel cell carcinoma
Piel
Presentación atípica
Skin
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - pathology
Tomography, X-Ray Computed
Atypical presentation
Carcinoma de células de Merkel
Skin
Presentación atípica
Merkel cell carcinoma
Piel
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Summary:Merkel cell tumour is a rare skin tumour of high malignancy, poor prognosis and low survival. It is characterized by its tendency to lymph node and vascular invasion and by a high percentage of locoregional recurrence in the year following surgical removal. It affects adults between 60 and 80 years of age and often occurs in the head and neck. We present the case of an 85-year-old man presenting with an ulcerated gluteal mass of 4 months’ evolution. Diagnosis was by histopathological and immunohistochemical study. Early diagnosis and appropriate treatment are important to improve the prognosis of these patients. El tumor de células de Merkel es un tumor cutáneo raro, de elevada malignidad, mal pronóstico y baja supervivencia. Se caracteriza por su tendencia a la invasión ganglionar y vascular, y por un alto porcentaje de recurrencia locorregional en el año siguiente a la extirpación quirúrgica. Afecta a adultos entre los 60 y 80 años, y se localiza preferentemente en cabeza y cuello. Presentamos el caso de un varón de 85 años que acude por masa glútea ulcerada de 4 meses de evolución. El diagnóstico se realizó por estudio histopatológico e inmunohistoquímico. Un diagnóstico precoz y un tratamiento adecuado son importantes para mejorar el pronóstico de estos enfermos.
ISSN:1988-8856
1988-8856
DOI:10.1016/j.recote.2019.01.003