title: Merkel cell carcinoma in a patient with noninvasive vulvar Paget's disease.
abstract: We present the first case of inguinal Merkel cell carcinoma of unknown primary origin in a patient with vulvar Paget's disease. Correlation with immune suppression of both entities warrants further investigation. Additionally, this case highlights the value of ultrasound scanning in the detection of inguinal metastasis.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Wayne State University, Detroit, MI, USA. iwiner@med.wayne.edu
authors.forename: Ira S
authors.initials: IS
authors.lastname: Winer
authors.forename: Fulvio
authors.initials: F
authors.lastname: Lonardo
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Johnson
authors.forename: Gunter
authors.initials: G
authors.lastname: Deppe
mesh_terms: D000368:Aged; D015266:Carcinoma, Merkel Cell / Q000175:diagnosis* / Q000556:secondary; D005260:Female; D006119:Groin; D006801:Humans; D016609:Neoplasms, Second Primary; D009382:Neoplasms, Unknown Primary / Q000175:diagnosis*; D010145:Paget Disease, Extramammary / Q000601:surgery*; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000556:secondary; D014846:Vulvar Neoplasms / Q000601:surgery*