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__NOTOC__
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{{Merkel cell cancer}}
{{Merkel cell cancer}}
{{CMG}} {{AE}} {{AAM}}
{{CMG}} ; {{AE}} {{VKG}}
==Overview==
==Overview==
On biopsy, Merkel cell cancer is characterized by positivity on cytokeratin-20 immunohistochemical staining. On electron microscopy, the presence of neurosecretory granules within cytoplasmic extensions is characteristics.
Other diagnostic studies for merkel cell cancer include [[skin biopsy]], which demonstrates positive [[Keratin 20|cytokeratin-20]] , and [[electron microscopy]], which demonstrates [[granules]], and [[cytoplasmic]] extensions.


==Biopsy==
==Other Diagnostic Studies==
*Skin biopsy is required for the diagnosis of Merkel cell cancer.
 
:*The histopathological diagnosis of Merkel cell tumor is difficult, and the majority of cases with Merkel cell cancer are often misdiagnosed.
=== Skin biopsy ===
:*Cytokeratin-20 [[immunohistochemical]] staining is required for the histopathological diagnosis of Merkel cell cancer.
[[Skin biopsy]] may be helpful in the diagnosis of merkel cell cancer.  
:*On biopsy, Merkel cell cancer is characterized by positive staining on [[Keratin 20|cytokeratin-20]] immunohistochemical assay.<ref name="pmid18280333">{{cite journal| author=Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF et al.| title=Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features. | journal=J Am Acad Dermatol | year= 2008 | volume= 58 | issue= 3 | pages= 375-81 | pmid=18280333 | doi=10.1016/j.jaad.2007.11.020 | pmc=PMC2335370 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18280333  }} </ref>
* Findings diagnostic of merkel cell cancer  include:
:*On electron microscopy, Merkel cell cancer is characterized by the presence of neurosecretory granules within cytoplasmic extensions.<ref name="pmid18280333">{{cite journal| author=Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF et al.| title=Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features. | journal=J Am Acad Dermatol | year= 2008 | volume= 58 | issue= 3 | pages= 375-81 | pmid=18280333 | doi=10.1016/j.jaad.2007.11.020 | pmc=PMC2335370 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18280333  }} </ref>
 
*[[Sentinel lymph node]] biopsy is often required for the evaluation of tumor cell [[invasion]] to regional [[lymph nodes]].<ref name="cancergov">National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdp</ref>
* The [[histopathological]] diagnosis of merkel cell cancer is difficult, and the majority of cases with merkel cell cancer are often misdiagnosed.
* On skin biopsy, merkel cell cancer is characterized by positive staining on [[Keratin 20|cytokeratin-20]] [[immunohistochemical]] assay.<ref name="pmid18280333">{{cite journal| author=Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF et al.| title=Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features. | journal=J Am Acad Dermatol | year= 2008 | volume= 58 | issue= 3 | pages= 375-81 | pmid=18280333 | doi=10.1016/j.jaad.2007.11.020 | pmc=PMC2335370 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18280333  }} </ref>
 
=== Electron microscopy ===
* On [[electron microscopy]], merkel cell cancer is characterized by the presence of:
** Neurosecretory [[granules]] within [[cytoplasmic]] extensions.<ref name="pmid18280333">{{cite journal| author=Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF et al.| title=Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features. | journal=J Am Acad Dermatol | year= 2008 | volume= 58 | issue= 3 | pages= 375-81 | pmid=18280333 | doi=10.1016/j.jaad.2007.11.020 | pmc=PMC2335370 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18280333  }} </ref>


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Dermatology]]
[[Category:Surgery]]

Latest revision as of 03:12, 31 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

Other diagnostic studies for merkel cell cancer include skin biopsy, which demonstrates positive cytokeratin-20 , and electron microscopy, which demonstrates granules, and cytoplasmic extensions.

Other Diagnostic Studies

Skin biopsy

Skin biopsy may be helpful in the diagnosis of merkel cell cancer.

  • Findings diagnostic of merkel cell cancer include:

Electron microscopy

References

  1. 1.0 1.1 Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF; et al. (2008). "Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features". J Am Acad Dermatol. 58 (3): 375–81. doi:10.1016/j.jaad.2007.11.020. PMC 2335370. PMID 18280333.