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Cutaneous Merkel cell carcinoma of the left lower leg |
European Journal of Dermatology. Volume 8, Number 4, 285-6, June 1998, Votre diagnostic ?
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 Free Article
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Author(s) : Natalie STONE, Susan BURGE |
Summary : A reclusive, 77-year-old lady was admitted to hospital with shortness of breath and anorexia. Chest X-ray revealed extensive pulmonary metastases. Abdominal ultrasound was normal, but due to her poor general medical health with cardiac and renal failure, no invasive investigations were performed to hunt the hidden primary tumour. She was referred to dermatology to review her long standing "venous" leg ulcers which had become increasingly malodorous. Removal of the leg ulcer dressings revealed this pigmented "wound" affecting the left lower leg (Fig. 1). |
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