Merkel cell cancer physical examination: Difference between revisions
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=== Skin === | === Skin === | ||
* Skin examination of patients with [[merkel cell cancer]] is significant for: | * Skin examination of patients with [[merkel cell cancer]] is significant for:<ref name="pmid18280333">{{cite journal |vauthors=Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF, Nghiem P |title=Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features |journal=J. Am. Acad. Dermatol. |volume=58 |issue=3 |pages=375–81 |date=March 2008 |pmid=18280333 |pmc=2335370 |doi=10.1016/j.jaad.2007.11.020 |url=}}</ref> | ||
**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 | ||
Revision as of 16:01, 18 January 2019
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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]
- 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, intracutaneous nodule
- Dome-shaped or raised
- 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:
- 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.