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Primitive eyelid merkel carcinoma: case report
Poster Details
First Author: A.Laborante ITALY
Co Author(s): M. Gaspari C. Longo E. Mazzilli
Abstract Details
Purpose:
We report the case of a 65-year-old Caucasian woman who came to us with a fast-growing neoplasm of the upper eyelid (of around 2.5 months).
Setting:
Ophthalmology Department
IRCSS- Ospedale Casa Sollievo della Sofferenza
S.Giovanni Rotondo-FG ITALY
Methods:
Primitive Merkel Cell Carcinoma (MCC) of the eyelid is a malign cutaneous neuro-endocrine tumour that originates in Merkel cells; these cells are situated along the border of the eyelid between the eyelashes. It is a rare, very aggressive and metastasising tumour.
The histo-pathological diagnosis may require an immuno-histochemical and ultrastructural analysis.
The authors describe the clinical case of a 65-year-old patient with palpebral MCC that appeared suddenly over a period of three months.
Results:
The correct therapeutic strategy for Merkel cell cancer is a radical, aggressive and early removal of the tumour at its initial stage, in order to reduce the risk of a distant recurrence and to improve the survival rate.
The tumour must be resected with a broad safety margin and radiotherapy may be required post surgery.
Conclusions:
It is a very aggressive tumour that has a local recurrence in 25% of cases and metastasis to local lymph nodes in 30%. Distant metastasis may occur within two years of diagnosis (skin, bones, brain, liver and lungs). FINANCIAL INTEREST: NONE