Merkel cell cancer other diagnostic studies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

On biopsy, Merkel cell cancer is characterized by the presence of neurosecretory granules within cytoplasmic extensions and positivity on cytokeratin-20 immunohistochemical staining.

Biopsy

  • 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.
  • Cytokeratin-20 immunohistochemical staining is required for the histopathological diagnosis of Merkel cell cancer.
  • On biopsy, Merkel cell cancer is characterized by positive staining on cytokeratin-20 immunohistochemical assay.[1]
  • On electron microscopy, Merkel cell cancer is characterized by the presence of neurosecretory granules within cytoplasmic extensions.[1]
  • Sentinel lymph node biopsy is used to check for cancer cells.[2]

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.
  2. National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdp