Case Report of Merkel Cell Carcinoma in 5th Finger.

Lee, Keun Cheol; Ha, Sung Uk; Park, Jung Min; Kim, Seok Kwun; Kim, Dae Cheol; Song, Gi Hoon

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(4):572-574.
Published online July 1, 2004.

Case Report of Merkel Cell Carcinoma in 5th Finger.

Keun Cheol Lee, Sung Uk Ha, Jung Min Park, Seok Kwun Kim, Dae Cheol Kim, Gi Hoon Song

¹Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. pokdungi@daunet.donga.ac.kr
²Department of Pathology, College of Medicine, Dong-A University, Busan, Korea.
³Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.

Abstract

Merkel cell carcinoma is an uncommon cutaneous tumor that is considerable locally aggressive and often spreads regionally through lymphatic channels. Evaluation of surgical treatment methods has been hampered by the low incidence of this tumor. Current standards of treatment include wide surgical excision and regional lymphadenectomy if clinically suspicious nodes are present. We report a first case of Merkel cell carcinoma in a 48-year-old female. She had solitary subcutaneous mass on left 5th finger. Wide local excision 1.5 cm along margin was done, and wound was covered by reverse radial forearm fascial flap. One month later, axillary lymph node was enlarged and treated by radiotherapy. Further evaluation and follow-up were needed.

Keywords: Merkel cell carcinoma