Two separate nodules of Merkel cell carcinoma occurring concomitantly on one cheek
Archives of Craniofacial Surgery
;
: 203-206, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-762762
ABSTRACT
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Prurito
/
Sensación
/
Colgajos Quirúrgicos
/
Biopsia
/
Carcinoma de Células de Merkel
/
Mejilla
/
Células de Merkel
/
Biopsia del Ganglio Linfático Centinela
/
Placa Neural
/
Cabeza
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Archives of Craniofacial Surgery
Año:
2019
Tipo del documento:
Artículo
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