An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

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Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 128-131

Spinal metastasis from merkel cell carcinoma in an elderly male

1 Department of Internal Medicine, Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USA
2 Department of Pulmonary, Mercy Hospital, Fort Smith, AR, USA
3 Department of Pathology, Mercy Hospital, Fort Smith, AR, USA
4 Department of Oncology, Mercy Hospital, Fort Smith, AR, USA
5 St. Michael's Medical Center, Newark, NJ, USA
6 Department of Medical Oncology, St. Michaels Medical Center, Affiliate of New York Medical College, Newark, NJ, USA

Correspondence Address:
Dr. Hamid Shaaban
Department of Medical Oncology, St. Michaels Medical Center, Affiliate of New York Medical College, Newark, NJ
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_5_18

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Merkel cell carcinoma is a cutaneous neuroendocrine malignancy that has an aggressive nature. Classically, it affects the elderly Caucasian population with a predilection for the sun-exposed areas of the body. Pathogenesis has been linked to ultraviolet radiation, immunosuppression, and the Merkel cell polyomavirus. Definitive diagnosis entails histologic evaluation and immunohistochemical staining. With its generalized appearance and tendency for metastasis, a high index of suspicion must be utilized. In this case, we present the unique presentation of Merkel cell carcinoma as a rapidly enlarging lymph node with metastatic disease to the spinal column presenting as new-onset low back and radicular pain.

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