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:<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><ref name="pmid29085720">{{cite journal |vauthors=Geller S, Pulitzer M, Brady MS, Myskowski PL |title=Dermoscopic assessment of vascular structures in solitary small pink lesions-differentiating between good and evil |journal=Dermatol Pract Concept |volume=7 |issue=3 |pages=47–50 |date=July 2017 |pmid=29085720 |doi=10.5826/dpc.0703a10 |url=}}</ref> | * 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><ref name="pmid29085720">{{cite journal |vauthors=Geller S, Pulitzer M, Brady MS, Myskowski PL |title=Dermoscopic assessment of vascular structures in solitary small pink lesions-differentiating between good and evil |journal=Dermatol Pract Concept |volume=7 |issue=3 |pages=47–50 |date=July 2017 |pmid=29085720 |doi=10.5826/dpc.0703a10 |url=}}</ref><ref name="pmid23574613">{{cite journal |vauthors=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 |title=Clinical and dermoscopic characteristics of Merkel cell carcinoma |journal=Br. J. Dermatol. |volume=169 |issue=2 |pages=294–7 |date=August 2013 |pmid=23574613 |doi=10.1111/bjd.12376 |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 | ||
**Non-tender, firm, shiny, flesh-colored or bluish-red, intracutaneous [[Nodule (medicine)|nodule]] | **Non-tender, firm, shiny, flesh-colored or bluish-red, intracutaneous [[Nodule (medicine)|nodule]] | ||
**Dome-shaped or raised | **Dome-shaped or raised nodule | ||
**Red/violaceous skin mass | **Red/violaceous skin mass | ||
**+/- Crusting and [[ulceration]] | **+/- Crusting and [[ulceration]] | ||
Revision as of 16:04, 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][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, intracutaneous nodule
- 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]
- 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.