Uvod: Karcinom Merklovih celic (MCC) je redek, agresiven in pogosto smrten nevroendokrini kožni karcinom. Karcinom teh celic je prvi opisal Toker leta 1972. Klinično ga zlahka zamenjamo za benigno ...kožno tvorbo. Zapis odstranitve tumorja v ambulanti družinske medicine je v strokovni literaturi redek.
Prikaz primera: Opisan je primer odstranitve MCC velikosti slabega cm na desnem zapestju pri 80 letni gospe, ki je sprva dajal klinični vtis vnete ciste. Takoj po inciziji je bilo jasno, da gre za solidni tumor, ki je bil nato v celoti ekscidiran in poslan patologu. Izvid je potrdil MCC, rob in dno nista bila odstranjena v zdravem. Bolnica je bila takoj poslana na nadaljnjo obravnavo k onkologu, kjer pa je odklonila vse posege. 4 leta in 2 meseca po odstranitvi tumorja ni kliničnih znakov za lokalno ponovitev tumorja ali sistemskih znakov napredovanja bolezni.
Zaključek: Zdravnik družinske medicine, ki dela na oddaljenih ruralnih področjih, mora pogosteje kot drugi uporabljati tudi kirurške veščine. Pri tem lahko naleti na redke in maligne tumorje, ki jih lahko razreši le skupaj s patologom.
Introduction: Mercel cell carcinoma (MCC) is a rare, aggressive and often lethal neuroendocrine skin cancer. The cancer of these cells was first described by Toker in 1972. It can clinically look ...like benign skin lesion. Removing the tumor in the family medicine is a rare report in literature. Case report: This report describes a case of the removal MCC, the size of approximately less than 1 cm on the right wrist at an 80-year-old lady, which was initially given the clinical impression of the inflamed cyst. Immediately after the incision, it was clear that it was a solid tumor, which was then completely excised and sent to the pathologist. The result was MCC, the edge and the bottom were not removed in healthy. The patient was immediately sent for further treatment to the oncologist, but she refused further treatment. 4 years and 2 months after removal of the tumor, there are no clinical signs of local recurrence or systemic signs of progression. Conclusion: A family doctor who works in remote rural areas, more often than others have to use surgical skills. In addition, it can encounter rare and malignant tumors, which can be resolved only with the pathologist.
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