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A Review of Non-Invasive Skin Imaging in Merkel Cell Carcinoma: Diagnostic Utility and Clinical Implications

Title: A Review of Non-Invasive Skin Imaging in Merkel Cell Carcinoma: Diagnostic Utility and Clinical Implications
Authors: Badiu, Iulia Maria; Korecka, Katarzyna; Orzan, Anca Olguta; Spadafora, Marco; Longo, Caterina; Forsea, Ana-Maria; Lallas, Aimilios
Contributors: Badiu, Iulia Maria; Korecka, Katarzyna; Orzan, Anca Olguta; Spadafora, Marco; Longo, Caterina; Forsea, Ana-Maria; Lallas, Aimilios
Publication Year: 2024
Collection: Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS)
Subject Terms: Merkel cell carcinoma; dermoscopy; high-frequency ultrasound; non-invasive; nonmelanoma skin cancer; reflectance confocal microscopy; skin imaging
Description: Background/Objectives: Merkel cell carcinoma (MCC) is a rare and aggressive cutaneous neuroendocrine malignancy characterized by its propensity for rapid growth and early regional and distant metastasis. Given its potentially lethal nature, accurate and timely diagnosis of MCC is of utmost importance. This review aims to describe non-invasive imaging methods that can serve as additional tools in the examination of MCC. Methods: In this narrative review, we describe the up-to-date spectrum of non-invasive skin-imaging methods that can serve as additional tools in the examination of MCC based on the available literature. Dermoscopy might enhance the clinical diagnosis of MCC, facilitate differentiation from other benign and malignant tumors, and help optimize the treatment plan. New imaging technologies might also provide useful information at a sub-macroscopic level and support clinical diagnosis. These techniques include high-frequency ultrasound (HFUS), reflectance confocal microscopy (RCM) and optical coherence tomography (OCT). Results: Clinically, MCC typically presents as a rapidly growing, red, purple or skin-colored painless and firm nodule. Diagnosis is usually established with histopathological assessment and immunohistochemistry. However, dermoscopy and new imaging technologies might enhance the clinical diagnosis of MCC, facilitate differentiation from other benign and malignant tumors, and help optimize the treatment plan.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/39518026; info:eu-repo/semantics/altIdentifier/wos/WOS:001350992900001; volume:16; issue:21; firstpage:N/A; lastpage:N/A; journal:CANCERS; https://hdl.handle.net/11380/1365449
DOI: 10.3390/cancers16213586
Availability: https://hdl.handle.net/11380/1365449; https://doi.org/10.3390/cancers16213586
Rights: info:eu-repo/semantics/openAccess ; license:[IR] creative-commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.B58C4158
Database: BASE