Merkel cell cancer physical examination: Difference between revisions
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=== HEENT === | === HEENT === | ||
* HEENT examination of patients with merkel cell cancer is usually shows the following: | * 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> | ||
** 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 16:03, 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][2]
- 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:[3]
- 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.
- ↑ 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.