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Jang KI, Lim SY, Lee JM, Jeon EJ, Lee HJ. Double Primary Cancers of Earlobe Merkel Cell Carcinoma and Lung Adenocarcinoma. J Audiol Otol 2024; 28:236-240. [PMID: 38382516 PMCID: PMC11273190 DOI: 10.7874/jao.2023.00479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/23/2023] [Accepted: 12/18/2023] [Indexed: 02/23/2024] Open
Abstract
Merkel cell carcinoma (MCC) is an aggressive neuroendocrine carcinoma with a high rate of metastasis. MCC is rarely suspected during clinical examination, thus requiring biopsy to establish a pathologic diagnosis. In addition, MCC sometimes occurs in double primary cancers. Although there have been reviews on double primary cancers, only a few cases involving MCC have been described. Herein, we report a case of a 54-year-old female patient who presented to our clinic with a diagnosis of earlobe MCC following an excisional biopsy performed by another clinic. Further evaluation, including chest imaging, revealed a mass in the lung. The patient underwent a wide excision of the right earlobe, and video-assisted thoracic surgery on the lung. Pathology confirmed MCC in the right earlobe and adenocarcinoma in the lung. The patient underwent postoperative adjuvant chemotherapy followed by radiotherapy. Up to this point, 3 years after the surgery, there has been no evidence of recurrence.
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Affiliation(s)
- Kyung Il Jang
- Republic of Korea Air Force The 8145th Unit, Air Defense Control Command, Yangpyeong, Korea
| | - So Yun Lim
- Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jeon Mi Lee
- Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
| | - Eun-Ju Jeon
- Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hyun Jin Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Tammaro A, Cantisani C, Chello C, Adebanjo GAR, Lilli L, Farnetani F, Filippi C, Covelli E, Rogges E, Pellacani G. A Challenging Nodular Lesion of the Ear. Medicina (B Aires) 2022; 58:medicina58020269. [PMID: 35208592 PMCID: PMC8877636 DOI: 10.3390/medicina58020269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/24/2022] [Accepted: 02/07/2022] [Indexed: 11/16/2022] Open
Abstract
Skin nodular lesion are really frequent, but rapidly growing ones needs to be quickly removed since they can hide really aggressive skin tumor. Among malignant lesion Merkel cell carcinoma arise. It is a rare neuroendocrine skin tumor highly aggressive, not easy to diagnose at first stage, since at first diagnosis it is already widespreading all over the body. In order to renew interest in this letal skin tumori is mandatory to remind high risk population which include elderly people, white skin, chronically exposed to UV immunocompromised. Our unhappy case was described to increase awareness on this kind of skin tumor, since new drug appeared in the market can give an hope to these patients.
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Affiliation(s)
- Antonella Tammaro
- NESMOS Dermatology Department, Sapienza Medical School of Rome, 00141 Rome, Italy; (A.T.); (C.C.); (G.A.R.A.); (E.C.)
| | - Carmen Cantisani
- UOC of Dermatology, Policlinico Umberto I Hospital, Sapienza Medical School of Rome, 00161 Rome, Italy; (F.F.); (G.P.)
- Correspondence: ; Tel.: +39-0649976930
| | - Camilla Chello
- NESMOS Dermatology Department, Sapienza Medical School of Rome, 00141 Rome, Italy; (A.T.); (C.C.); (G.A.R.A.); (E.C.)
- Dermatology Department, University of Modena and Reggio Emilia, 41124 Modena, Italy
| | | | - Lavinia Lilli
- Biological Science Department, “Roma Tre” University, 00154 Rome, Italy;
| | - Francesca Farnetani
- UOC of Dermatology, Policlinico Umberto I Hospital, Sapienza Medical School of Rome, 00161 Rome, Italy; (F.F.); (G.P.)
| | - Chiara Filippi
- ENT Department, Sapienza University of Rome, 00161 Rome, Italy;
| | - Edoardo Covelli
- NESMOS Dermatology Department, Sapienza Medical School of Rome, 00141 Rome, Italy; (A.T.); (C.C.); (G.A.R.A.); (E.C.)
| | - Evelina Rogges
- Pathology Department, Sapienza University of Rome, 00161 Rome, Italy;
| | - Giovanni Pellacani
- UOC of Dermatology, Policlinico Umberto I Hospital, Sapienza Medical School of Rome, 00161 Rome, Italy; (F.F.); (G.P.)
- Dermatology Department, University of Modena and Reggio Emilia, 41124 Modena, Italy
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Alotaibi FH, Lugo R, Patel SY, Abdulsattar J, Ghali G. Primary Merkel Cell Carcinoma of the parotid gland; unusual location and clinical presentation. ORAL AND MAXILLOFACIAL SURGERY CASES 2020. [DOI: 10.1016/j.omsc.2020.100197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Merkel Cell Carcinoma of the Maxillary Sinus: An Unusual Presentation of a Common Tumor. Head Neck Pathol 2020; 15:691-697. [PMID: 32915383 PMCID: PMC8134595 DOI: 10.1007/s12105-020-01219-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 08/27/2020] [Accepted: 08/29/2020] [Indexed: 12/17/2022]
Abstract
Merkel cell carcinoma is most commonly seen in the skin of sun exposed areas, particularly the head and neck and is associated with Merkel cell polyomavirus. Merkel cell carcinoma at an extracutaneous mucosal site of the head and neck is rare. We report a case of a 74-year-old women who presented with an enlarging thyroid mass found to be neuroendocrine carcinoma consistent with Merkel cell carcinoma (positive for synaptophysin, chromogranin, CK20). Subsequent work up revealed a maxillary sinus mass with extension into the nasal cavity. Biopsy was diagnostic for Merkel cell carcinoma (positive for synaptophysin, chromogranin, CK20 and Merkel cell polyomavirus). There are only case reports and small case series of Merkel cell carcinoma arising in the mucosal sites of the head and neck most commonly in the oral cavity, rarely the sinonasal mucosa. Merkel cell carcinoma metastasizing to the thyroid has only been reported in three other case reports, all from skin primaries. In addition to our case, we review the literature of extracutaneous sinonasal Merkel cell carcinoma and metastases to the thyroid.
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Rossi MK, Kanagasabapathy DAR, Hoffman HT. Seed and soil? - Pharyngeal Merkel cell carcinoma after radiotherapy for laryngeal squamous cell carcinoma. Am J Otolaryngol 2019; 40:448-452. [PMID: 30885449 DOI: 10.1016/j.amjoto.2019.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Accepted: 03/04/2019] [Indexed: 11/29/2022]
Abstract
Merkel cell carcinoma (MCC) is a neuroendocrine cutaneous malignancy that may present as metastatic disease without a known primary site but, most commonly originates in the sun-exposed skin of the head, neck, and extremities. We present a 66-year-old male treated with chemo-radiation for T3N2cM0 laryngeal squamous cell carcinoma (SCCa) six years before he was diagnosed with MCC isolated to the radiated laryngopharynx. Mucosal MCC is rare and radiation-induced MCC has been hypothesized to occur in previously radiated tissue but, never before to the laryngopharynx. Implications regarding cancer biology and management is focused with discussion on relevant advances in pathologic assessment and immunotherapy.
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MESH Headings
- Aged
- Antibodies, Monoclonal, Humanized/therapeutic use
- Antineoplastic Agents, Immunological/therapeutic use
- B7-H1 Antigen/therapeutic use
- Carcinoma, Merkel Cell/etiology
- Carcinoma, Merkel Cell/pathology
- Carcinoma, Merkel Cell/therapy
- Carcinoma, Squamous Cell/pathology
- Carcinoma, Squamous Cell/radiotherapy
- Carcinoma, Squamous Cell/therapy
- Chemoradiotherapy/adverse effects
- Humans
- Immunotherapy
- Laryngeal Neoplasms/etiology
- Laryngeal Neoplasms/pathology
- Laryngeal Neoplasms/radiotherapy
- Laryngeal Neoplasms/therapy
- Male
- Neoplasm Staging
- Neoplasms, Second Primary
- Programmed Cell Death 1 Receptor
- Ultraviolet Rays/adverse effects
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Affiliation(s)
- Monica K Rossi
- Department of Otolaryngology - Head and Neck Surgery, University of Iowa Hospitals and Clinics, 21151 Pomerantz Family Pavilion, 200 Hawkins Drive, 52240, Iowa City, IA, USA.
| | - D Anand Rajan Kanagasabapathy
- Department of Pathology, University of Iowa Hospitals and Clinics, 5329-A Roy Carver Pavilion, 200 Hawkins Drive, 52240 Iowa City, IA, USA
| | - Henry T Hoffman
- Department of Otolaryngology - Head and Neck Surgery, University of Iowa Hospitals and Clinics, 21151 Pomerantz Family Pavilion, 200 Hawkins Drive, 52240, Iowa City, IA, USA
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Knopf A, Bas M, Hofauer B, Mansour N, Stark T. Clinicopathological characteristics of head and neck Merkel cell carcinomas. Head Neck 2016; 39:92-97. [PMID: 27447124 DOI: 10.1002/hed.24540] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Revised: 04/01/2016] [Accepted: 05/17/2016] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND There are still controversies about the therapeutic strategies and subsequent outcome in head and neck Merkel cell carcinoma. METHODS Clinicopathological data of 23 Merkel cell carcinomas, 93 cutaneous head and neck squamous cell carcinomas (HNSCCs), 126 malignant melanomas, and 91 primary parotid gland carcinomas were comprehensively analyzed. Merkel cell carcinomas were cytokeratin 20 (CK20)/neuron-specific enolase (NSE)/chromogranin A (CgA)/synaptophysin (Syn)/thyroid transcription factor-1 (TTF-1)/MIB1 immunostained. RESULTS All Merkel cell carcinomas underwent wide local excision. Parotidectomy/neck dissection was performed in 40%/33% cutaneous Merkel cell carcinoma and 100%/100% in parotid gland Merkel cell carcinoma. Five-year recurrence-free interval (RFI)/overall survival (OS) was significantly higher in malignant melanoma (81/80%) than in cutaneous Merkel cell carcinoma/HNSCC. Interestingly, 5-year RFI/OS was significantly higher in Merkel cell carcinoma (61%/79%) than in HNSCC (33%/65%; p < .0001) despite comparable TNM classifications and treatment regimens. There were neither differences of RFI/OS between parotid gland Merkel cell carcinoma and parotid gland carcinomas, nor in the immunohistochemical profile. CONCLUSION Five-year RFI/OS was significantly better in cutaneous Merkel cell carcinoma when compared with TNM classification matched HNSCC. Five-year RFI/OS was comparable in parotid gland Merkel cell carcinoma and other primary parotid gland malignancies. © 2016 Wiley Periodicals, Inc. Head Neck 39: 92-97, 2017.
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Affiliation(s)
- Andreas Knopf
- Technische Universität München, Hals-Nasen-Ohrenklinik und Poliklinik, München, Germany
| | - Murat Bas
- Technische Universität München, Hals-Nasen-Ohrenklinik und Poliklinik, München, Germany
| | - Benedikt Hofauer
- Technische Universität München, Hals-Nasen-Ohrenklinik und Poliklinik, München, Germany
| | - Naglaa Mansour
- Technische Universität München, Hals-Nasen-Ohrenklinik und Poliklinik, München, Germany
| | - Thomas Stark
- Technische Universität München, Hals-Nasen-Ohrenklinik und Poliklinik, München, Germany
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Haymerle G, Fochtmann A, Kunstfeld R, Pammer J, Erovic BM. Merkel cell carcinoma: Overall survival after open biopsy versus wide local excision. Head Neck 2015; 38 Suppl 1:E1014-8. [DOI: 10.1002/hed.24148] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Revised: 04/09/2015] [Accepted: 05/31/2015] [Indexed: 11/07/2022] Open
Affiliation(s)
- Georg Haymerle
- Department of Otolaryngology - Head and Neck Surgery; Medical University of Vienna; Vienna Austria
| | - Alexandra Fochtmann
- Department of Plastic and Reconstructive Surgery; Medical University of Vienna; Vienna Austria
| | - Rainer Kunstfeld
- Department of Dermatology; Medical University of Vienna; Vienna Austria
| | - Johannes Pammer
- Department of Clinical Pathology; Medical University of Vienna; Vienna Austria
| | - Boban M. Erovic
- Department of Otolaryngology - Head and Neck Surgery; Medical University of Vienna; Vienna Austria
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