Title

Loss of cytokeratin 20 and acquisition of thyroid transcription factor-1 expression in a merkel cell carcinoma metastasis to the brain

Document Type

Article

Publication Date

11-1-2014

Abstract

Merkel cell carcinoma is recognized by its morphologic features as well as by its classic immunophenotypic properties. Although Merkel cell carcinomas demonstrating non-classic immunoreactivities have been described, a case documenting a change in immunophenotype during the course of disease progression has not been previously reported. We report a case of Merkel cell carcinoma which initially demonstrated cytokeratin 20 positivity but lost expression in subsequent metastases. Likewise, thyroid transcription factor-1 was initially negative in the tumor but expression was present in metastatic lesions.

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