Cytokeratin 20 negative Merkel cell carcinoma consistent with negative Merkel cell polyomavirus / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 293-297, 2017.
Article
in English
| WPRIM
| ID: wpr-787057
ABSTRACT
Merkel cell carcinoma (MCC) is a rare neuroendocrine tumor that is highly aggressive in nature and indolent in progression. The common risk factors for MCC are senility, prolonged exposure to sunlight, and immune deficient states. Moreover, Merkel cell polyomavirus has recently been characterized to be significantly associated with pathogenesis of MCC, including the expression of Cytokeratin 20 (CK20). Diagnosis is often difficult since histopathological results require a number of differential diagnoses through immunohistochemical (IHC) stains with other cutaneous malignancies. A 67-year-old man presented with a solitary domeshaped erythematous round mass on the left upper arm for 2 months. Biopsy and IHC studies revealed findings consistent with Merkel Cell Carcinoma of neuroendocrine origin. Common IHC stains usually confirm positive findings for CK20, which is also recognized as the key component in making the diagnosis. We present a CK20 negative MCC in light of expanding the knowledge of unusually stained IHC results in MCC.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arm
/
Sunlight
/
Biopsy
/
Carcinoma, Merkel Cell
/
Risk Factors
/
Neuroendocrine Tumors
/
Diagnosis
/
Diagnosis, Differential
/
Coloring Agents
/
Keratin-20
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Limits:
Aged
/
Humans
Language:
English
Journal:
Yeungnam University Journal of Medicine
Year:
2017
Type:
Article
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