Etymed

merkel cell carcinoma

Merkel cell carcin/o -oma

Definition

A malignant tumor arising from Merkel cells, which are neuroendocrine cells found in the skin

Clinical context

A 78-year-old man presents with a rapidly growing, painless, flesh-colored nodule on his head that has been present for 2 months. The lesion is firm and measures 1.5 cm in diameter. On examination, it has a shiny, pearly appearance with telangiectatic blood vessels. Biopsy reveals small, round cells with high nuclear-to-cytoplasmic ratio and mitotic activity, consistent with a neuroendocrine tumor. This patient's tumor likely arose from Merkel cells in the skin.

Mnemonic

Merkel cells = neuroendocrine cells in skin = small cell carcinoma

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