Merkel cell cancer physical examination: Difference between revisions
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**A mass that appear in sun exposed areas of the skin | **A mass that appear in sun exposed areas of the skin | ||
**Mass that usually 1-2 cm | **Mass that usually 1-2 cm | ||
**Non-tender, firm, shiny, flesh-colored or bluish-red | **Non-tender, firm, shiny, flesh-colored or bluish-red or pink colour intracutaneous [[Nodule (medicine)|nodule]] | ||
**Presence of a polymorphous [[vascular]] pattern is very characteristic to [[merkel cell cancer]] | |||
**Dome-shaped or raised nodule | **Dome-shaped or raised nodule | ||
**Red/violaceous skin mass | **Red/violaceous skin mass | ||
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=== HEENT === | === HEENT === | ||
* HEENT examination of patients with merkel cell cancer is usually shows the following:<ref name="pmid29072302">{{cite journal |vauthors=Becker JC, Stang A, DeCaprio JA, Cerroni L, Lebbé C, Veness M, Nghiem P |title=Merkel cell carcinoma |journal=Nat Rev Dis Primers |volume=3 |issue= |pages=17077 |date=October 2017 |pmid=29072302 |pmc=6054450 |doi=10.1038/nrdp.2017.77 |url=}}</ref> | * HEENT examination of patients with merkel cell cancer is usually shows the following:<ref name="pmid29072302">{{cite journal |vauthors=Becker JC, Stang A, DeCaprio JA, Cerroni L, Lebbé C, Veness M, Nghiem P |title=Merkel cell carcinoma |journal=Nat Rev Dis Primers |volume=3 |issue= |pages=17077 |date=October 2017 |pmid=29072302 |pmc=6054450 |doi=10.1038/nrdp.2017.77 |url=}}</ref><ref name="pmid30085832">{{cite journal |vauthors=Schmerling RA, Casas JG, Cinat G, Ospina FEG, Kassuga LEBP, Tlahuel JLM, Mazzuoccolo LD |title=Burden of Disease, Early Diagnosis, and Treatment of Merkel Cell Carcinoma in Latin America |journal=J Glob Oncol |volume= |issue=4 |pages=1–11 |date=July 2018 |pmid=30085832 |pmc=6223512 |doi=10.1200/JGO.18.00041 |url=}}</ref> | ||
** Mass measuring 2 X 3 cm most commonly in the right nasal ala | ** Mass measuring 2 X 3 cm most commonly in the right nasal ala | ||
** Due to the mass effect patients with merkel cell cancer might experience nasal obstruction | ** Due to the mass effect patients with merkel cell cancer might experience nasal obstruction | ||
Revision as of 16:11, 18 January 2019
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Merkel cell cancer Microchapters |
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Merkel cell cancer physical examination On the Web |
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American Roentgen Ray Society Images of Merkel cell cancer physical examination |
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Risk calculators and risk factors for Merkel cell cancer physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]; Ahmad Al Maradni, M.D. [3]
Overview
Physical exam findings of merkel cell cancer include red/violaceous skin mass that appear in sun exposed areas.
Physical examination
Physical examination of patients with merkel cell cancer is usually remarkable for flesh-colored or bluish-red, intracutaneous nodules.
Appearance of the Patient
- Patients with merkel cell cancer usually appear normal.
Vital Signs
- Mostly all vitals are within normal limits.
Skin
- Skin examination of patients with merkel cell cancer is significant for:[1][2][3]
- A mass that appear in sun exposed areas of the skin
- Mass that usually 1-2 cm
- Non-tender, firm, shiny, flesh-colored or bluish-red or pink colour intracutaneous nodule
- Presence of a polymorphous vascular pattern is very characteristic to merkel cell cancer
- Dome-shaped or raised nodule
- Red/violaceous skin mass
- +/- Crusting and ulceration
- According to National Cancer Database the following are the most common locations of merkel cell cancer in decreasing order:
- Head and neck
- Upper limbs(UL) and shoulder
- Lower limbs(LL) and hip
- Trunk
HEENT
- HEENT examination of patients with merkel cell cancer is usually shows the following:[4][5]
- Mass measuring 2 X 3 cm most commonly in the right nasal ala
- Due to the mass effect patients with merkel cell cancer might experience nasal obstruction
Gallery
References
- ↑ Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF, Nghiem P (March 2008). "Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features". J. Am. Acad. Dermatol. 58 (3): 375–81. doi:10.1016/j.jaad.2007.11.020. PMC 2335370. PMID 18280333.
- ↑ Geller S, Pulitzer M, Brady MS, Myskowski PL (July 2017). "Dermoscopic assessment of vascular structures in solitary small pink lesions-differentiating between good and evil". Dermatol Pract Concept. 7 (3): 47–50. doi:10.5826/dpc.0703a10. PMID 29085720.
- ↑ Jalilian C, Chamberlain AJ, Haskett M, Rosendahl C, Goh M, Beck H, Keir J, Varghese P, Mar A, Hosking S, Hussain I, Rich M, McLean C, Kelly JW (August 2013). "Clinical and dermoscopic characteristics of Merkel cell carcinoma". Br. J. Dermatol. 169 (2): 294–7. doi:10.1111/bjd.12376. PMID 23574613.
- ↑ Becker JC, Stang A, DeCaprio JA, Cerroni L, Lebbé C, Veness M, Nghiem P (October 2017). "Merkel cell carcinoma". Nat Rev Dis Primers. 3: 17077. doi:10.1038/nrdp.2017.77. PMC 6054450. PMID 29072302.
- ↑ Schmerling RA, Casas JG, Cinat G, Ospina F, Kassuga L, Tlahuel J, Mazzuoccolo LD (July 2018). "Burden of Disease, Early Diagnosis, and Treatment of Merkel Cell Carcinoma in Latin America". J Glob Oncol (4): 1–11. doi:10.1200/JGO.18.00041. PMC 6223512. PMID 30085832. Vancouver style error: initials (help)