Support for p63 expression as an adverse prognostic marker in Merkel cell carcinoma: report on a Canadian cohort
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Merkel cell carcinoma (MCC) is a rare, aggressive skin cancer that occurs most frequently in the elderly on sun-exposed sites. A new virus belonging to the Polyomaviridae family and named Merkel cell polyo-mavirus (MCPyV) has recently [1] been identifi ed in tumor tissues from patients with Merkel cell carci-noma (MCC). Furthermore, interferon-alpha (IFN) demonstrated an
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Aims: To evaluate the monoclonal antibody MOC‐31 in Merkel cell carcinomas and normal Merkel cells. Merkel cell carcinoma is a rare and aggressive tumour that occurs mainly in elderly individuals. The histological diagnosis of Merkel cell carcinoma can be difficult because it looks similar to other small blue cell tumours, particularly skin metastases of small‐cell lung carcinomas. This antibody recognizes the epithelial cell adhesion molecule (Ep‐CAM), that has been assigned to the small cell lung cancer cluster 2 of antibodies. To the best of our knowledge, immunostaining for MOC‐31/Ep‐CAM has not been previously described in Merkel cells or Merkel cell carcinomas. Methods and results: Thirty‐one cases of Merkel cell carcinoma and three samples of normal human fingertip were selected to analyse the expression of MOC‐31/Ep‐CAM by immunohistochemistry. A high number of Merkel cell carcinomas (21/31, 67.7%) showed intense and readily interpretable positivity. Immunostaining was diffuse or focal and always localized to the plasma membrane. Normal Merkel cells of human fingertip also showed plasma membrane immunoreactivity for MOC‐31/Ep‐CAM. Conclusion: The demonstration of positivity for MOC‐31/Ep‐CAM in Merkel cell carcinomas precludes the use of this immunohistochemical marker to distinguish between tumours and skin metastases of small‐cell lung carcinoma.
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Single-strand conformation polymorphism
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