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File:Merkel Cell Carcinoma buttock 45-year-old woman.jpg

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Summary

Description

This large tumor presented as a protuberant mass on the buttock of a 45-year-old woman. Microscopically it showed sheets of undifferentiated cells with high nuclear/cytoplasmic ratio, a high mitotic rate, a occasional inconspicuous nucleoli.

Immunostains showed strong dot-like and diffuse cytoplasmic positivity for cytokeratins 20, CAM5.2, and AE1-AE3, as well as granular staining for synaptophysin and chromogranin. There were negative reactions for cytokeratin 7, gross cystic disease fluid protein 15, melan-A, S-100 protein, and thyroid transcription factor 1-alpha.

Even though the histologic features and immunostain profile was characteristic of a primary skin tumor, the presentation is atypical. Usually, Merkel cell carcinoma presents on the sun-exposed areas of elderly individuals. Therefore, the pathologist recommended workup for the possibility of another primary site, including lung, female genital tract, salivary gland, and other cutaneous site.
Date
Source Merkel Cell Carcinoma
Author Ed Uthman from Houston, TX, USA

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This image was originally posted to Flickr by euthman at https://www.flickr.com/photos/78147607@N00/414633167. It was reviewed on 13 April 2008 by FlickreviewR and was confirmed to be licensed under the terms of the cc-by-sa-2.0.

13 April 2008

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current08:04, 9 April 2008Thumbnail for version as of 08:04, 9 April 20083,286 × 2,824 (2.72 MB)Jacopo Werther{{Information |Description= This large tumor presented as a protuberant mass on the buttock of a 45-year-old woman. Microscopically it showed sheets of undifferentiated cells with high nuclear/cytoplasmic ratio, a high mitotic rate, a occasional inconspic

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