{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:20:06Z","timestamp":1790443206663,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,10,7]],"date-time":"2015-10-07T00:00:00Z","timestamp":1444176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Merkel cell carcinoma (<jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content>) is an uncommon aggressive primary cutaneous carcinoma with neuroendocrine differentiation. However, literature data about the use of somatostatin receptor positron emission tomography\/computed tomography (<jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) imaging in <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content> are limited and its role is not clearly stated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the role of <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> using somatostatin analogues radiolabelled with gallium\u201068 in patients with <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients affected by <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content> who performed a somatostatin receptor <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> imaging from October 2007 to May 2014 were retrospectively analysed. The diagnostic performances of <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> were evaluated on a patient\u2010based analysis and compared to final diagnosis (histology = 3 or clinical\/radiological follow\u2010up = 20).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We evaluated 23 consecutive <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content> patients [18 men; median age 71 years (range 47\u201387)]. Primary tumour was located in ear (1\/23), cheek (3\/23), arm (2\/23), hand (1\/23), back (1\/23), anal canal (1\/23), gluteus (4\/23), thigh (3\/23) and popliteal fossa (1\/23). In 6\/23 patients, the site of primary tumour was unknown. <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> was performed to detect primary tumour site (4\/23) or to stage (8\/23) or re\u2010stage (11\/23) patients. <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> resulted positive in 14\/23 patients and according to the final diagnosis was defined true positive, true negative, false positive (<jats:styled-content style=\"fixed-case\">FP<\/jats:styled-content>) and false negative in 11\/23, 8\/23, 3\/23 and 1\/23 cases respectively. <jats:styled-content style=\"fixed-case\">FP PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> results were due to unspecific liver uptake, post\u2010surgical inflammation and pancreatic neuroendocrine tumour. <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> was unable to detect primary tumour site in all patients with unknown primary <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content>. Sensitivity, specificity and diagnostic accuracy of <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> were 92%, 73% and 83% respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our experience, somatostatin receptor <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> imaging resulted useful in patients with <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content> and presented high diagnostic performances with a significant impact in disease management although in patients with unknown primary <jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content>, it was unable to identify the primary tumour 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