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典型文献
Concurrence of Merkel Cell Carcinoma and Squamous Cell Carcinoma in A Patient with Generalized Actinic Keratosis: A Case Report
文献摘要:
Introduction::Merkel cell carcinoma (MCC) is a rare, aggressive cutaneous malignancy, and its pathogenesis might relate to ultraviolet light and Merkel cell polyomavirus infection. MCC in the Chinese population is uncommon.Case report::An 82-year-old woman presented with two rapidly enlarging and rupture lesions on the face for 1 year. Biopsy was suggestive of squamous cell carcinoma (SCC) on the forehead and MCC on the left cheek. The patient had a history of generalized AK for 3 years. The lesion on the left cheek was also revealed as an AK by histopathological examination 1 year ago. Complete surgical resection was performed to remove the two malignancies.Discussion::The co-occurrence of AK, SCC, and MCC in a Chinese woman is unusual. Immunohistopathological examination is vital for correct diagnosis. The three tumors, in this case, may originate from two different precursor cells and are affected by the same carcinogen. Alternatively, they may come from the same pluripotent epidermal stem cells, and chronic exposure to ultraviolet light and Merkel cell polyomavirus lead to the formation of different types of tumors. The coexist of MCC with other cutaneous tumors provided a train of thought for exploring the origin of MCC.Conclusion::We reported a rare co-existence phenomenon of MCC associated with AK and SCC. Hence, long-term follow-up and early treatment are imperative for patients with premalignant lesions, such as widespread AK.
文献关键词:
Merkel cell carcinoma;squamous cell carcinoma;actinic keratosis;concurrence;case report
作者姓名:
Yue Zhang-Hui;Wang Yan;Fang Fang;Sun Jian-Fang
作者机构:
Department of Pathology, Hospital for Skin Diseases (Institute of Dermatology), Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, Jiangsu 210042, China;Department of Dermatologic Surgery, Hospital for Skin Diseases (Institute of Dermatology), Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, Jiangsu 210042, China
引用格式:
[1]Yue Zhang-Hui;Wang Yan;Fang Fang;Sun Jian-Fang-.Concurrence of Merkel Cell Carcinoma and Squamous Cell Carcinoma in A Patient with Generalized Actinic Keratosis: A Case Report)[J].国际皮肤性病学杂志(英文),2022(01):53-55
A类:
Concurrence,Actinic,Keratosis,cheek,Immunohistopathological,premalignant
B类:
Merkel,Cell,Carcinoma,Squamous,Patient,Generalized,Case,Report,Introduction,carcinoma,MCC,rare,aggressive,cutaneous,malignancy,its,pathogenesis,might,relate,ultraviolet,light,polyomavirus,infection,Chinese,population,uncommon,An,old,woman,presented,two,rapidly,enlarging,rupture,lesions,face,Biopsy,was,suggestive,squamous,SCC,forehead,left,had,history,generalized,AK,years,also,revealed,by,examination,ago,Complete,surgical,resection,performed,remove,malignancies,Discussion,occurrence,unusual,vital,correct,diagnosis,three,tumors,this,case,may,originate,from,different,precursor,cells,affected,same,carcinogen,Alternatively,they,come,pluripotent,epidermal,stem,chronic,exposure,lead,formation,types,coexist,other,provided,train,thought,exploring,Conclusion,We,reported,existence,phenomenon,associated,Hence,long,term,follow,early,treatment,imperative,patients,such,widespread,actinic,keratosis,concurrence
AB值:
0.52932
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