Merkel cell carcinoma of the forehead area: a literature review and case report

ConclusionsThis study confirms the aggressiveness of forehead MCC, comparable with that of other face similar tumors. Personal case suggests that the deceitful benign feature of lesion may mimic an AVM and that FNAC may be misleading and diagnostic failure worsen prognosis. Our experience suggests that in the face smaller than 2 –3 cm margins resection may increase the risk of locoregional recurrence. Therefore, postoperative wide-field irradiation should be ever delivered, after forehead MCC surgery, not only when clear margins are unattainable or involved with tumor, but also when negative microscopic edges are documen ted and residual cancer is thought not persist in the tumor bed. Orbit irradiation seems to be not dangerous for the eye.
Source: Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research