Cargando…
Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek
Merkel cell carcinoma (MCC) is a rare and highly aggressive neuroectodermal carcinoma arising from mechanoreceptor Merkel cells. Multiple MCCs are even rarer. We report a case of two independent MCCs simultaneously present in the cheek of a patient, which were effectively and esthetically treated us...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cleft Palate-Craniofacial Association
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615417/ https://www.ncbi.nlm.nih.gov/pubmed/31256560 http://dx.doi.org/10.7181/acfs.2018.02236 |
_version_ | 1783433362688442368 |
---|---|
author | Hwang, Woosuk Kang, Mi Seon Kim, Jin Woo |
author_facet | Hwang, Woosuk Kang, Mi Seon Kim, Jin Woo |
author_sort | Hwang, Woosuk |
collection | PubMed |
description | Merkel cell carcinoma (MCC) is a rare and highly aggressive neuroectodermal carcinoma arising from mechanoreceptor Merkel cells. Multiple MCCs are even rarer. We report a case of two independent MCCs simultaneously present in the cheek of a patient, which were effectively and esthetically treated using a cheek flap. Punch biopsy performed in a 60-year-old woman admitted with a chief complaint of two skin-colored hard nodules in her left cheek, accompanied by an itching sensation, was suggestive of MCC. Accordingly, we performed sentinel lymph node biopsy through the modified Blair incision under general anesthesia, in cooperation with the head and neck surgery department. The defect was covered with a cheek flap by slightly extending the existing incision following wide excision with a safety margin of 1 cm. This paper is significant in that it introduces an effective reconstruction technique that maintains function using a cheek flap for the management of this rare case. In addition, this paper is the first to classify multiple MCCs according to the time of onset. We believe that this paper presents an effective alternative reconstruction technique with sentinel node biopsy through the modified Blair incision. |
format | Online Article Text |
id | pubmed-6615417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-66154172019-07-19 Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek Hwang, Woosuk Kang, Mi Seon Kim, Jin Woo Arch Craniofac Surg Case Report Merkel cell carcinoma (MCC) is a rare and highly aggressive neuroectodermal carcinoma arising from mechanoreceptor Merkel cells. Multiple MCCs are even rarer. We report a case of two independent MCCs simultaneously present in the cheek of a patient, which were effectively and esthetically treated using a cheek flap. Punch biopsy performed in a 60-year-old woman admitted with a chief complaint of two skin-colored hard nodules in her left cheek, accompanied by an itching sensation, was suggestive of MCC. Accordingly, we performed sentinel lymph node biopsy through the modified Blair incision under general anesthesia, in cooperation with the head and neck surgery department. The defect was covered with a cheek flap by slightly extending the existing incision following wide excision with a safety margin of 1 cm. This paper is significant in that it introduces an effective reconstruction technique that maintains function using a cheek flap for the management of this rare case. In addition, this paper is the first to classify multiple MCCs according to the time of onset. We believe that this paper presents an effective alternative reconstruction technique with sentinel node biopsy through the modified Blair incision. Korean Cleft Palate-Craniofacial Association 2019-06 2019-06-20 /pmc/articles/PMC6615417/ /pubmed/31256560 http://dx.doi.org/10.7181/acfs.2018.02236 Text en Copyright © 2019 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Hwang, Woosuk Kang, Mi Seon Kim, Jin Woo Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title | Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title_full | Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title_fullStr | Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title_full_unstemmed | Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title_short | Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek |
title_sort | two separate nodules of merkel cell carcinoma occurring concomitantly on one cheek |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615417/ https://www.ncbi.nlm.nih.gov/pubmed/31256560 http://dx.doi.org/10.7181/acfs.2018.02236 |
work_keys_str_mv | AT hwangwoosuk twoseparatenodulesofmerkelcellcarcinomaoccurringconcomitantlyononecheek AT kangmiseon twoseparatenodulesofmerkelcellcarcinomaoccurringconcomitantlyononecheek AT kimjinwoo twoseparatenodulesofmerkelcellcarcinomaoccurringconcomitantlyononecheek |