Merkel cell carcinoma of the hallux: a case report

Merkel cell carcinoma of the hallux: a case report Eur J Plast Surg (2013) 36:63–64 DOI 10.1007/s00238-011-0658-y CASE REPORT Hamid Tehrani & Azhar Iqbal & Kevin Hancock Received: 10 August 2011 /Accepted: 18 October 2011 /Published online: 15 November 2011 Springer-Verlag 2011 Case report cases present in those aged over 50 years, patients as young as 7 years have been reported [6]. Indeed, a recent study A 38-year-old female presented with a large dome- found only six of 181 cases of MCC to be less than shaped lesion on her right great toe. The lesion had 50 years old. Of these younger patients, five were found to been rapidly growing during the previous 4 months and be immunocompromised, and five of the tumours exhibited had begun to fungate, leading to her presentation the Merkel cell polyomavirus (MCP) [7], a virus that has (Fig. 1). She had no other significant medical history, recently received considerable interest. It has been found and systemic examination was unremarkable. Notably, that approximately 80% of individuals will be MCP- there was no palpable lymphadenopathy. antibody-positive from previous exposure [8, 9], although An initial incisional biopsy verified Merkel cell carcino- only a very small proportion of these individuals will ma. Amputation of the toe at European Journal of Plastic Surgery Springer Journals

Merkel cell carcinoma of the hallux: a case report

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Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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