[Merkel cell carcinoma in unusual location].
We present a case of Merkel cell carcinoma with buttock location at a 70 years old patient. In literature there are described about 600 observations, of which more than half located in the head and neck. Despite early diagnosis--less than five months after occurrence--a thorough exploration (ultrasonography of soft tissues, pelvi-abdominal CT, histopathological and immunohistochemical examination), correct treatment (broad surgical exeresis, local postoperative radiotherapy) and appropriate follow-up, the patient had a negative evolution. Death occurs 17 months after diagnosis by the occurrence of liver metastases, invading the hepatic hilum and hence jaundice.
Năstăsescu
T
T
Clinica Chirurgie I, Spitalul Universitar de Urgenţă Bucureşti.
Palade
R
R
Simion
G
G
D000368:Aged; D002081:Buttocks / Q000473:pathology; D015266:Carcinoma, Merkel Cell / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011182:Postoperative Care; D018714:Radiotherapy, Adjuvant; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D017211:Treatment Failure