## ABSTRACT **Objective** To report clinical experience with the rare neuroendocrine Merkel cell carcinoma of the skin. **Subjects and setting** Seventeen patients with Merkel cell carcinoma of the skin treated at the Departments of Dermatology and ENT, Krankenhaus Dresden‐Friedrichstadt, Dresden,
Regressing Merkel cell carcinoma—a case showing replacement of tumour cells by foamy cells
✍ Scribed by K. Maruo; K-I. Kayashima; T. Ono
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 739 KB
- Volume
- 142
- Category
- Article
- ISSN
- 0007-0963
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✦ Synopsis
Abstract
Merkel cell carcinoma (MCC) is a malignant neuroendocrine tumour with a high rate of recurrence and metastasis. However, some cases of spontaneous regression have recently been reported. We describe the clinical course of an 80-year-old Japanese woman with regressing MCC. We also report histological findings of the regressing tumour for the first time. After the patient’s first visit to our hospital, the lesion was a rapidly progressive tumour, but suddenly began decreasing in size, and rapidly regressed. The surface of the tumour flattened, the colour changed from red to dark red, and finally the lesion appeared as a small yellowish plaque. Histopathological analysis of the completely regressed tumour revealed that the tumour cells were completely replaced by numerous foamy cells. This is the first report demonstrating the histopathological features of regressing MCC.
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## Abstract ## Background. Eighty‐five percent of all Merkel cell carcinomas appear on sun‐exposed areas, with 50% to 55% occurring on the head and neck. ## Methods. A chart review was performed on 22 patients treated for Merkel cell carcinoma of the head and neck between 1981 and 1998. ## Resu
Merkel cell carcinoma (MCC) is a rare cutaneous skin lesion with a variable but often aggressive clinical course. Patient survival correlates with nodal status and the presence of distant metastases. The histologic status of the sentinel lymph node consistently correlates with the incidence of regio