A case report of recurrent Merkel cell carcinoma with synchronous metastases to the heart and stomachopen access
- Authors
- Ha, J.Y.; Park, S.E.; Kim, H.S.; Won, H.; Kim, B.J.; Hwang, I.G.
- Issue Date
- Nov-2018
- Publisher
- NLM (Medline)
- Keywords
- heart; Merkel cell carcinoma; metastasis; stomach
- Citation
- Medicine, v.97, no.44
- Journal Title
- Medicine
- Volume
- 97
- Number
- 44
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/3435
- DOI
- 10.1097/MD.0000000000013032
- ISSN
- 1536-5964
1536-5964
- Abstract
- RATIONALE: Merkel cell carcinoma (MCC) is an aggressive, rare neuroendocrine skin cancer. MCC metastasis to the heart is exceedingly rare and gastric metastases from MCC have rarely been reported.PATIENT CONCERNS: We described the case of an 82-year-old man diagnosed with recurrent MCC with cardiac and gastric metastasis who presented with poor oral intake and severe weight loss. The patient was diagnosed with MCC 3 years ago and treated with surgical resection and radiation.INTERVENTIONS: We performed stomach biopsy in edematous lesion. And fluoroscopy and ultrasound guided biopsy of the cardiac mass was performed.DIAGNOSES: MCC with synchronous metastases to the heart and stomach.OUTCOMES: The primary lesion had complete resolution and the patient remained disease free on regular follow-up every 6 months for 2 and half years. After MCC recurred, palliative anti-cancer therapy was considered but could not be performed due to the patient's poor performance status involved elderly, combined recurrent pneumonia.LESSONS: To our best knowledge, this is the first report of synchronous cardiac and gastric metastasis from cutaneous MCC worldwide. Although uncommon, MCC should be considered in clinical cases of synchronous metastasis.
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