| Autor: |
Bruno de Sousa Pina, Olga Berens, Augusto Candeias |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
The Pan-American Journal of Ophthalmology, Vol 16, Iss 3, Pp 82-85 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2666-4909 |
| Popis: |
We present a case of a 71-year-old Caucasian male complaining of left lateral lower eyelid swelling after an insect sting sensation. Physical examination showed an oval shaped lesion (half a centimetre diameter), mobile, with well-defined edges, soft consistency, and erythema. Palpation was painless and without lymph node involvement. The patient had a history of metastatic prostate adenocarcinoma. One week later, the lesion showed rapid growth (two centimetres diameter) with central ulceration. Incisional biopsy was made. Immunohistochemistry findings were suggestive of a primary neuroendocrine carcinoma: Merkel Cell Carcinoma. The patient underwent surgery with wide local excision, regional lymphadenectomy, and eyelid reconstruction. Awareness of this type of tumor is crucial. A delay in diagnosis affects the prognosis of the disease significantly. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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