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Merkel Cell Carcinoma of the Eyelid With a Positive Sentinel Node
Arch Ophthalmol. 2002;120:646-648.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
Merkel cell carcinoma (MCC) of the eyelid is a rare but aggressive malignancy
that metastasizes early to regional lymph nodes.1
Most clinical series suggest a rate of regional nodal involvement between
21% and 66%.2-4
Early detection of occult regional nodal disease may allow for early institution
of adjuvant therapy. We describe a patient with MCC of the eyelid with clinically
uninvolved nodes who underwent sentinel lymph node (SLN) biopsy soon after
the diagnosis of his primary tumor. An SLN was identified and showed histologic
evidence of MCC. To our knowledge, this is the first reported case of a positive
SLN secondary to MCC of the eyelid.
Report of a Case
A 61-year-old man noted an erythematous lesion on his left upper eyelid
in May 2001. He went to his local ophthalmologist, who excised the lesion
but did not examine it histologically. In June 2001, the lesion recurred.
The recurrent lesion measured approximately 12 mm . . . [Full Text of this Article]
Comment
Corresponding author and reprints: Bita Esmaeli, MD, Ophthalmology
Section, Department of Plastic Surgery, Box 443, M. D. Anderson Cancer Center,
1515 Holcombe Blvd, Houston, TX 77030 (e-mail: besmaeli@mdanderson.org).
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