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Selected Publication:

Abesamis-Cubillan, E; El-Shabrawi-Caelen, L; LeBoit, PE.
Merked cells and sclerosing epithelial neoplasms.
AMER J DERMATOPATHOL. 2000; 22: 311-315. Doi: 10.1097%2F00000372-200008000-00003
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Co-authors Med Uni Graz
El-Shabrawi-Caelen Laila
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Abstract:
Merkel cells are normal constituents of the basal layer of the epidermis and the follicular epithelium. They have been identified in benign neoplasms with follicular germinative differentiation but seem to be absent in basal cell carcinomas (BCCs). Because sclerosing epithelial neoplasms are often sampled by small biopsies, any method that enables distinction among them would be welcome. We used immunohistochemical staining for cytokeratin 20 to assess the presence of Merkel cells in 14 cases of desmoplastic trichoepithelioma (DTE), 12 specimens of syringoma, 11 samples of morpheiform BCC, and 8 specimens of microcystic adnexal carcinoma (MAC). Merkel cells were found in association with all 14 specimens of DTE and in 1 of 11 cases of morpheiform BCC (p < 0.005) but in none of the specimens of syringoma or MAC. Our study supports previous findings that Merkel cells are seen in association with cutaneous neoplasms that are benign and of a follicular germinative origin. Although MAC may differentiate along follicular-sebaceous-apocrine lines, the absence of Merkel cells within it is consistent with its malignancy. The identification of Merkel cells in a sclerosing epithelial neoplasm of the skin points to DTE as the most likely diagnosis.
Find related publications in this database (using NLM MeSH Indexing)
Carcinoma, Basal Cell - chemistry
Carcinoma, Skin Appendage - chemistry
Female - chemistry
Humans - chemistry
Immunoenzyme Techniques - chemistry
Intermediate Filament Proteins - analysis
Keratin-20 - analysis
Male - analysis
Merkel Cells - chemistry
Middle Aged - chemistry
Neoplasm Proteins - analysis
Skin Neoplasms - chemistry
Syringoma - chemistry
Tumor Markers, Biological - analysis

Find related publications in this database (Keywords)
cytokeratin 20
desmoplastic trichoepithelioma
immunohistochemistry
Merkel cells
morpheiform basal cell carcinoma
microcystic adnexal carcinoma
sclerosing epithelial neoplasm
syringoma
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