id sid tid token lemma pos dpc-2967 1 1 dermatology dermatology NOUN dpc-2967 1 2 : : PUNCT dpc-2967 1 3 practical practical ADJ dpc-2967 1 4 and and CCONJ dpc-2967 1 5 conceptual conceptual ADJ dpc-2967 1 6 letter letter NOUN dpc-2967 1 7 to to ADP dpc-2967 1 8 the the DET dpc-2967 1 9 editor editor NOUN dpc-2967 1 10 | | ADV dpc-2967 1 11 dermatol dermatol ADJ dpc-2967 1 12 pract pract NOUN dpc-2967 1 13 concept concept NOUN dpc-2967 1 14 . . PUNCT dpc-2967 2 1 2023;13(4):e2023213 2023;13(4):e2023213 NUM dpc-2967 2 2 1 1 NUM dpc-2967 2 3 merkel merkel NOUN dpc-2967 2 4 cell cell NOUN dpc-2967 2 5 carcinoma carcinoma NOUN dpc-2967 2 6 : : PUNCT dpc-2967 2 7 mind mind VERB dpc-2967 2 8 the the DET dpc-2967 2 9 genital genital ADJ dpc-2967 2 10 metastatic metastatic ADJ dpc-2967 2 11 sites site NOUN dpc-2967 2 12 ! ! PUNCT dpc-2967 3 1 giacomo giacomo PROPN dpc-2967 3 2 santandrea1,4 santandrea1,4 PROPN dpc-2967 3 3 , , PUNCT dpc-2967 3 4 stefania stefania PROPN dpc-2967 3 5 borsari2 borsari2 PROPN dpc-2967 3 6 , , PUNCT dpc-2967 3 7 angelina angelina PROPN dpc-2967 3 8 filice3 filice3 PROPN dpc-2967 3 9 , , PUNCT dpc-2967 3 10 simonetta simonetta ADJ dpc-2967 3 11 piana1 piana1 ADJ dpc-2967 3 12 1 1 NUM dpc-2967 3 13 pathology pathology NOUN dpc-2967 3 14 unit unit NOUN dpc-2967 3 15 , , PUNCT dpc-2967 3 16 arcispedale arcispedale PROPN dpc-2967 3 17 santa santa PROPN dpc-2967 3 18 maria maria PROPN dpc-2967 3 19 nuova nuova PROPN dpc-2967 3 20 , , PUNCT dpc-2967 3 21 azienda azienda PROPN dpc-2967 3 22 usl usl PROPN dpc-2967 3 23 - - PUNCT dpc-2967 3 24 irccs irccs NOUN dpc-2967 3 25 di di PROPN dpc-2967 3 26 reggio reggio PROPN dpc-2967 3 27 emilia emilia PROPN dpc-2967 3 28 , , PUNCT dpc-2967 3 29 reggio reggio PROPN dpc-2967 3 30 emilia emilia PROPN dpc-2967 3 31 , , PUNCT dpc-2967 3 32 italy italy PROPN dpc-2967 3 33 2 2 NUM dpc-2967 3 34 centro centro X dpc-2967 3 35 oncologico oncologico NOUN dpc-2967 3 36 ad ad PROPN dpc-2967 3 37 alta alta PROPN dpc-2967 3 38 tecnologia tecnologia PROPN dpc-2967 3 39 diagnostica diagnostica PROPN dpc-2967 3 40 - - PUNCT dpc-2967 3 41 skin skin NOUN dpc-2967 3 42 cancer cancer NOUN dpc-2967 3 43 center center NOUN dpc-2967 3 44 , , PUNCT dpc-2967 3 45 azienda azienda PROPN dpc-2967 3 46 usl usl PROPN dpc-2967 3 47 – – PUNCT dpc-2967 3 48 irccs ircc VERB dpc-2967 3 49 di di PROPN dpc-2967 3 50 reggio reggio PROPN dpc-2967 3 51 emilia emilia PROPN dpc-2967 3 52 , , PUNCT dpc-2967 3 53 reggio reggio PROPN dpc-2967 3 54 emilia emilia PROPN dpc-2967 3 55 , , PUNCT dpc-2967 3 56 italy italy PROPN dpc-2967 3 57 3 3 NUM dpc-2967 3 58 nuclear nuclear ADJ dpc-2967 3 59 medicine medicine NOUN dpc-2967 3 60 unit unit NOUN dpc-2967 3 61 , , PUNCT dpc-2967 3 62 arcispedale arcispedale PROPN dpc-2967 3 63 santa santa PROPN dpc-2967 3 64 maria maria PROPN dpc-2967 3 65 nuova nuova PROPN dpc-2967 3 66 , , PUNCT dpc-2967 3 67 azienda azienda PROPN dpc-2967 3 68 usl usl PROPN dpc-2967 3 69 - - PUNCT dpc-2967 3 70 irccs irccs NOUN dpc-2967 3 71 di di PROPN dpc-2967 3 72 reggio reggio PROPN dpc-2967 3 73 emilia emilia PROPN dpc-2967 3 74 , , PUNCT dpc-2967 3 75 reggio reggio PROPN dpc-2967 3 76 emilia emilia PROPN dpc-2967 3 77 , , PUNCT dpc-2967 3 78 italy italy PROPN dpc-2967 3 79 4 4 NUM dpc-2967 3 80 clinical clinical ADJ dpc-2967 3 81 and and CCONJ dpc-2967 3 82 experimental experimental ADJ dpc-2967 3 83 medicine medicine NOUN dpc-2967 3 84 phd phd NOUN dpc-2967 3 85 program program NOUN dpc-2967 3 86 , , PUNCT dpc-2967 3 87 university university NOUN dpc-2967 3 88 of of ADP dpc-2967 3 89 modena modena PROPN dpc-2967 3 90 and and CCONJ dpc-2967 3 91 reggio reggio PROPN dpc-2967 3 92 emilia emilia PROPN dpc-2967 3 93 , , PUNCT dpc-2967 3 94 modena modena PROPN dpc-2967 3 95 , , PUNCT dpc-2967 3 96 italy italy PROPN dpc-2967 3 97 citation citation PROPN dpc-2967 3 98 : : PUNCT dpc-2967 3 99 santandrea santandrea NOUN dpc-2967 3 100 g g PROPN dpc-2967 3 101 , , PUNCT dpc-2967 3 102 borsari borsari PROPN dpc-2967 3 103 s s PROPN dpc-2967 3 104 , , PUNCT dpc-2967 3 105 filice filice NOUN dpc-2967 3 106 a a NOUN dpc-2967 3 107 , , PUNCT dpc-2967 3 108 piana piana PROPN dpc-2967 3 109 s. s. PROPN dpc-2967 3 110 merkel merkel PROPN dpc-2967 3 111 cell cell NOUN dpc-2967 3 112 carcinoma carcinoma NOUN dpc-2967 3 113 : : PUNCT dpc-2967 3 114 mind mind VERB dpc-2967 3 115 the the DET dpc-2967 3 116 genital genital ADJ dpc-2967 3 117 metastatic metastatic ADJ dpc-2967 3 118 sites site NOUN dpc-2967 3 119 ! ! PUNCT dpc-2967 4 1 dermatol dermatol NOUN dpc-2967 4 2 pract pract PROPN dpc-2967 4 3 concept concept NOUN dpc-2967 4 4 . . PUNCT dpc-2967 5 1 2023;13(4):e2023213 2023;13(4):e2023213 X dpc-2967 5 2 . . X dpc-2967 5 3 doi doi NOUN dpc-2967 5 4 : : PUNCT dpc-2967 5 5 https://doi.org/10.5826/dpc.1304a213 https://doi.org/10.5826/dpc.1304a213 NOUN dpc-2967 5 6 accepted accept VERB dpc-2967 5 7 : : PUNCT dpc-2967 5 8 april april PROPN dpc-2967 5 9 26 26 NUM dpc-2967 5 10 , , PUNCT dpc-2967 5 11 2023 2023 NUM dpc-2967 5 12 ; ; PUNCT dpc-2967 5 13 published publish VERB dpc-2967 5 14 : : PUNCT dpc-2967 6 1 october october PROPN dpc-2967 6 2 2023 2023 NUM dpc-2967 6 3 copyright copyright NOUN dpc-2967 6 4 : : PUNCT dpc-2967 6 5 © © PROPN dpc-2967 6 6 2023 2023 NUM dpc-2967 6 7 santandrea santandrea NOUN dpc-2967 6 8 et et PROPN dpc-2967 6 9 al al PROPN dpc-2967 6 10 . . PUNCT dpc-2967 7 1 this this PRON dpc-2967 7 2 is be AUX dpc-2967 7 3 an an DET dpc-2967 7 4 open open ADJ dpc-2967 7 5 - - PUNCT dpc-2967 7 6 access access NOUN dpc-2967 7 7 article article NOUN dpc-2967 7 8 distributed distribute VERB dpc-2967 7 9 under under ADP dpc-2967 7 10 the the DET dpc-2967 7 11 terms term NOUN dpc-2967 7 12 of of ADP dpc-2967 7 13 the the DET dpc-2967 7 14 creative creative ADJ dpc-2967 7 15 commons common NOUN dpc-2967 7 16 attributionnoncommercial attributionnoncommercial ADJ dpc-2967 7 17 license license NOUN dpc-2967 7 18 ( ( PUNCT dpc-2967 7 19 by by ADP dpc-2967 7 20 - - PUNCT dpc-2967 7 21 nc-4.0 nc-4.0 NOUN dpc-2967 7 22 ) ) PUNCT dpc-2967 7 23 , , PUNCT dpc-2967 7 24 https://creativecommons.org/licenses/by-nc/4.0/ https://creativecommons.org/licenses/by-nc/4.0/ PROPN dpc-2967 7 25 , , PUNCT dpc-2967 7 26 which which PRON dpc-2967 7 27 permits permit VERB dpc-2967 7 28 unrestricted unrestricted ADJ dpc-2967 7 29 noncommercial noncommercial ADJ dpc-2967 7 30 use use NOUN dpc-2967 7 31 , , PUNCT dpc-2967 7 32 distribution distribution NOUN dpc-2967 7 33 , , PUNCT dpc-2967 7 34 and and CCONJ dpc-2967 7 35 reproduction reproduction NOUN dpc-2967 7 36 in in ADP dpc-2967 7 37 any any DET dpc-2967 7 38 medium medium NOUN dpc-2967 7 39 , , PUNCT dpc-2967 7 40 provided provide VERB dpc-2967 7 41 the the DET dpc-2967 7 42 original original ADJ dpc-2967 7 43 authors author NOUN dpc-2967 7 44 and and CCONJ dpc-2967 7 45 source source NOUN dpc-2967 7 46 are be AUX dpc-2967 7 47 credited credit VERB dpc-2967 7 48 . . PUNCT dpc-2967 8 1 funding funding NOUN dpc-2967 8 2 : : PUNCT dpc-2967 8 3 none none NOUN dpc-2967 8 4 . . PUNCT dpc-2967 9 1 competing compete VERB dpc-2967 9 2 interests interest NOUN dpc-2967 9 3 : : PUNCT dpc-2967 9 4 none none NOUN dpc-2967 9 5 . . PUNCT dpc-2967 10 1 authorship authorship NOUN dpc-2967 10 2 : : PUNCT dpc-2967 10 3 all all DET dpc-2967 10 4 authors author NOUN dpc-2967 10 5 have have AUX dpc-2967 10 6 contributed contribute VERB dpc-2967 10 7 significantly significantly ADV dpc-2967 10 8 to to ADP dpc-2967 10 9 this this DET dpc-2967 10 10 publication publication NOUN dpc-2967 10 11 . . PUNCT dpc-2967 11 1 corresponding correspond VERB dpc-2967 11 2 author author NOUN dpc-2967 11 3 : : PUNCT dpc-2967 11 4 dr dr PROPN dpc-2967 11 5 . . PROPN dpc-2967 11 6 simonetta simonetta PROPN dpc-2967 11 7 piana piana PROPN dpc-2967 11 8 , , PUNCT dpc-2967 11 9 pathology pathology NOUN dpc-2967 11 10 unit unit NOUN dpc-2967 11 11 , , PUNCT dpc-2967 11 12 azienda azienda PROPN dpc-2967 11 13 usl usl PROPN dpc-2967 11 14 - - PUNCT dpc-2967 11 15 irccs irccs PROPN dpc-2967 11 16 reggio reggio PROPN dpc-2967 11 17 emilia emilia PROPN dpc-2967 11 18 , , PUNCT dpc-2967 11 19 viale viale PROPN dpc-2967 11 20 risorgimento risorgimento PROPN dpc-2967 11 21 80 80 NUM dpc-2967 11 22 , , PUNCT dpc-2967 11 23 reggio reggio PROPN dpc-2967 11 24 emilia emilia PROPN dpc-2967 11 25 , , PUNCT dpc-2967 11 26 italy italy PROPN dpc-2967 11 27 . . PUNCT dpc-2967 12 1 tel tel ADP dpc-2967 12 2 +39 +39 PROPN dpc-2967 12 3 0522 0522 NUM dpc-2967 12 4 295919 295919 NUM dpc-2967 12 5 fax fax NOUN dpc-2967 12 6 +39 +39 PROPN dpc-2967 12 7 0522 0522 NUM dpc-2967 12 8 296945 296945 NUM dpc-2967 12 9 e e X dpc-2967 12 10 - - NOUN dpc-2967 12 11 mail mail NOUN dpc-2967 12 12 : : PUNCT dpc-2967 12 13 simonetta.piana@ausl.re.it simonetta.piana@ausl.re.it NUM dpc-2967 12 14 to to ADP dpc-2967 12 15 the the DET dpc-2967 12 16 editor editor NOUN dpc-2967 12 17 , , PUNCT dpc-2967 12 18 merkel merkel NOUN dpc-2967 12 19 cell cell NOUN dpc-2967 12 20 carcinoma carcinoma NOUN dpc-2967 12 21 ( ( PUNCT dpc-2967 12 22 mcc mcc NOUN dpc-2967 12 23 ) ) PUNCT dpc-2967 12 24 is be AUX dpc-2967 12 25 a a DET dpc-2967 12 26 rare rare ADJ dpc-2967 12 27 neuroendocrine neuroendocrine ADJ dpc-2967 12 28 tumor tumor NOUN dpc-2967 12 29 of of ADP dpc-2967 12 30 the the DET dpc-2967 12 31 skin skin NOUN dpc-2967 12 32 , , PUNCT dpc-2967 12 33 presenting present VERB dpc-2967 12 34 mostly mostly ADV dpc-2967 12 35 in in ADP dpc-2967 12 36 sun sun NOUN dpc-2967 12 37 - - PUNCT dpc-2967 12 38 exposed expose VERB dpc-2967 12 39 site site NOUN dpc-2967 12 40 of of ADP dpc-2967 12 41 caucasian caucasian ADJ dpc-2967 12 42 elderly elderly ADJ dpc-2967 12 43 patients patient NOUN dpc-2967 12 44 . . PUNCT dpc-2967 13 1 the the DET dpc-2967 13 2 median median ADJ dpc-2967 13 3 age age NOUN dpc-2967 13 4 is be AUX dpc-2967 13 5 75 75 NUM dpc-2967 13 6 years year NOUN dpc-2967 13 7 , , PUNCT dpc-2967 13 8 with with ADP dpc-2967 13 9 less less ADJ dpc-2967 13 10 than than ADP dpc-2967 13 11 5 5 NUM dpc-2967 13 12 % % NOUN dpc-2967 13 13 of of ADP dpc-2967 13 14 patients patient NOUN dpc-2967 13 15 younger young ADJ dpc-2967 13 16 than than ADP dpc-2967 13 17 50 50 NUM dpc-2967 13 18 years year NOUN dpc-2967 13 19 . . PUNCT dpc-2967 14 1 mcc mcc PROPN dpc-2967 14 2 is be AUX dpc-2967 14 3 associated associate VERB dpc-2967 14 4 with with ADP dpc-2967 14 5 immunosuppression immunosuppression NOUN dpc-2967 14 6 and and CCONJ dpc-2967 14 7 its its PRON dpc-2967 14 8 incidence incidence NOUN dpc-2967 14 9 is be AUX dpc-2967 14 10 increasing increase VERB dpc-2967 14 11 worldwide worldwide ADV dpc-2967 14 12 . . PUNCT dpc-2967 15 1 merkel merkel PROPN dpc-2967 15 2 cell cell PROPN dpc-2967 15 3 polyomavirus polyomavirus PROPN dpc-2967 15 4 ( ( PUNCT dpc-2967 15 5 mcpyv mcpyv ADV dpc-2967 15 6 ) ) PUNCT dpc-2967 15 7 , , PUNCT dpc-2967 15 8 demonstrated demonstrate VERB dpc-2967 15 9 either either CCONJ dpc-2967 15 10 immunohistochemically immunohistochemically ADV dpc-2967 15 11 or or CCONJ dpc-2967 15 12 by by ADP dpc-2967 15 13 pcr pcr NOUN dpc-2967 15 14 in in ADP dpc-2967 15 15 a a DET dpc-2967 15 16 subset subset NOUN dpc-2967 15 17 of of ADP dpc-2967 15 18 mcc mcc NOUN dpc-2967 15 19 , , PUNCT dpc-2967 15 20 and and CCONJ dpc-2967 15 21 the the DET dpc-2967 15 22 uv uv NOUN dpc-2967 15 23 damage damage NOUN dpc-2967 15 24 are be AUX dpc-2967 15 25 probably probably ADV dpc-2967 15 26 interrelated interrelate VERB dpc-2967 15 27 etiopathogenetic etiopathogenetic ADJ dpc-2967 15 28 agents agent NOUN dpc-2967 15 29 . . PUNCT dpc-2967 16 1 even even ADV dpc-2967 16 2 if if SCONJ dpc-2967 16 3 , , PUNCT dpc-2967 16 4 in in ADP dpc-2967 16 5 the the DET dpc-2967 16 6 past past NOUN dpc-2967 16 7 , , PUNCT dpc-2967 16 8 it it PRON dpc-2967 16 9 was be AUX dpc-2967 16 10 considered consider VERB dpc-2967 16 11 almost almost ADV dpc-2967 16 12 indolent indolent ADJ dpc-2967 16 13 , , PUNCT dpc-2967 16 14 now now ADV dpc-2967 16 15 it it PRON dpc-2967 16 16 is be AUX dpc-2967 16 17 classified classify VERB dpc-2967 16 18 as as ADP dpc-2967 16 19 a a DET dpc-2967 16 20 highgrade highgrade NOUN dpc-2967 16 21 malignancy malignancy NOUN dpc-2967 16 22 , , PUNCT dpc-2967 16 23 especially especially ADV dpc-2967 16 24 because because SCONJ dpc-2967 16 25 it it PRON dpc-2967 16 26 often often ADV dpc-2967 16 27 disseminates disseminate VERB dpc-2967 16 28 distantly distantly ADV dpc-2967 16 29 . . PUNCT dpc-2967 17 1 after after ADP dpc-2967 17 2 lymph lymph NOUN dpc-2967 17 3 nodes node NOUN dpc-2967 17 4 , , PUNCT dpc-2967 17 5 the the DET dpc-2967 17 6 most most ADV dpc-2967 17 7 common common ADJ dpc-2967 17 8 sites site NOUN dpc-2967 17 9 of of ADP dpc-2967 17 10 distant distant ADJ dpc-2967 17 11 metastases metastasis NOUN dpc-2967 17 12 are be AUX dpc-2967 17 13 skin skin NOUN dpc-2967 17 14 / / SYM dpc-2967 17 15 soft soft ADJ dpc-2967 17 16 tissue tissue NOUN dpc-2967 17 17 ( ( PUNCT dpc-2967 17 18 25 25 NUM dpc-2967 17 19 % % NOUN dpc-2967 17 20 ) ) PUNCT dpc-2967 17 21 , , PUNCT dpc-2967 17 22 liver liver NOUN dpc-2967 17 23 ( ( PUNCT dpc-2967 17 24 23 23 NUM dpc-2967 17 25 % % NOUN dpc-2967 17 26 ) ) PUNCT dpc-2967 17 27 , , PUNCT dpc-2967 17 28 bone bone NOUN dpc-2967 17 29 ( ( PUNCT dpc-2967 17 30 21 21 NUM dpc-2967 17 31 % % NOUN dpc-2967 17 32 ) ) PUNCT dpc-2967 17 33 , , PUNCT dpc-2967 17 34 pancreas pancrea NOUN dpc-2967 17 35 ( ( PUNCT dpc-2967 17 36 8 8 NUM dpc-2967 17 37 % % NOUN dpc-2967 17 38 ) ) PUNCT dpc-2967 17 39 , , PUNCT dpc-2967 17 40 lung lung NOUN dpc-2967 17 41 ( ( PUNCT dpc-2967 17 42 7 7 NUM dpc-2967 17 43 % % NOUN dpc-2967 17 44 ) ) PUNCT dpc-2967 17 45 and and CCONJ dpc-2967 17 46 brain brain NOUN dpc-2967 17 47 ( ( PUNCT dpc-2967 17 48 5 5 NUM dpc-2967 17 49 % % NOUN dpc-2967 17 50 ) ) PUNCT dpc-2967 18 1 [ [ X dpc-2967 18 2 1 1 NUM dpc-2967 18 3 ] ] PUNCT dpc-2967 18 4 . . PUNCT dpc-2967 19 1 as as ADP dpc-2967 19 2 a a DET dpc-2967 19 3 result result NOUN dpc-2967 19 4 , , PUNCT dpc-2967 19 5 during during ADP dpc-2967 19 6 staging staging NOUN dpc-2967 19 7 procedures procedure NOUN dpc-2967 19 8 , , PUNCT dpc-2967 19 9 the the DET dpc-2967 19 10 aforementioned aforementioned ADJ dpc-2967 19 11 body body NOUN dpc-2967 19 12 sites site NOUN dpc-2967 19 13 must must AUX dpc-2967 19 14 be be AUX dpc-2967 19 15 evaluated evaluate VERB dpc-2967 19 16 carefully carefully ADV dpc-2967 19 17 as as ADP dpc-2967 19 18 regional regional ADJ dpc-2967 19 19 lymph lymph NOUN dpc-2967 19 20 nodes node NOUN dpc-2967 19 21 . . PUNCT dpc-2967 20 1 however however ADV dpc-2967 20 2 , , PUNCT dpc-2967 20 3 rare rare ADJ dpc-2967 20 4 metastatic metastatic ADJ dpc-2967 20 5 sites site NOUN dpc-2967 20 6 may may AUX dpc-2967 20 7 occur occur VERB dpc-2967 20 8 , , PUNCT dpc-2967 20 9 and and CCONJ dpc-2967 20 10 they they PRON dpc-2967 20 11 can can AUX dpc-2967 20 12 be be AUX dpc-2967 20 13 overlooked overlook VERB dpc-2967 20 14 ; ; PUNCT dpc-2967 20 15 genitourinary genitourinary ADJ dpc-2967 20 16 tract tract NOUN dpc-2967 20 17 and and CCONJ dpc-2967 20 18 specifically specifically ADV dpc-2967 20 19 testes testis NOUN dpc-2967 20 20 can can AUX dpc-2967 20 21 represent represent VERB dpc-2967 20 22 a a DET dpc-2967 20 23 neglected neglect VERB dpc-2967 20 24 metastatic metastatic ADJ dpc-2967 20 25 localization localization NOUN dpc-2967 20 26 . . PUNCT dpc-2967 21 1 a a DET dpc-2967 21 2 man man NOUN dpc-2967 21 3 , , PUNCT dpc-2967 21 4 aged aged ADJ dpc-2967 21 5 50 50 NUM dpc-2967 21 6 years year NOUN dpc-2967 21 7 , , PUNCT dpc-2967 21 8 was be AUX dpc-2967 21 9 diagnosed diagnose VERB dpc-2967 21 10 with with ADP dpc-2967 21 11 a a DET dpc-2967 21 12 skin skin NOUN dpc-2967 21 13 mcc mcc NOUN dpc-2967 21 14 of of ADP dpc-2967 21 15 left left ADJ dpc-2967 21 16 knee knee NOUN dpc-2967 21 17 . . PUNCT dpc-2967 22 1 the the DET dpc-2967 22 2 lesion lesion NOUN dpc-2967 22 3 was be AUX dpc-2967 22 4 located locate VERB dpc-2967 22 5 in in ADP dpc-2967 22 6 the the DET dpc-2967 22 7 deep deep ADJ dpc-2967 22 8 dermis dermis NOUN dpc-2967 22 9 and and CCONJ dpc-2967 22 10 measured measure VERB dpc-2967 22 11 1 1 NUM dpc-2967 22 12 cm cm NOUN dpc-2967 22 13 in in ADP dpc-2967 22 14 the the DET dpc-2967 22 15 greatest great ADJ dpc-2967 22 16 axis axis NOUN dpc-2967 22 17 . . PUNCT dpc-2967 23 1 as as SCONJ dpc-2967 23 2 expected expect VERB dpc-2967 23 3 , , PUNCT dpc-2967 23 4 mcc mcc PROPN dpc-2967 23 5 resulted result VERB dpc-2967 23 6 immunohistochemically immunohistochemically ADV dpc-2967 23 7 positive positive ADJ dpc-2967 23 8 with with ADP dpc-2967 23 9 chromogranin chromogranin NOUN dpc-2967 23 10 and and CCONJ dpc-2967 23 11 keratin keratin NOUN dpc-2967 23 12 20 20 NUM dpc-2967 23 13 , , PUNCT dpc-2967 23 14 but but CCONJ dpc-2967 23 15 it it PRON dpc-2967 23 16 was be AUX dpc-2967 23 17 also also ADV dpc-2967 23 18 immunoreactive immunoreactive ADJ dpc-2967 23 19 with with ADP dpc-2967 23 20 mcpyv mcpyv NOUN dpc-2967 23 21 antibody antibody NOUN dpc-2967 23 22 . . PUNCT dpc-2967 24 1 he he PRON dpc-2967 24 2 underwent undergo VERB dpc-2967 24 3 a a DET dpc-2967 24 4 tumor tumor NOUN dpc-2967 24 5 excision excision NOUN dpc-2967 24 6 , , PUNCT dpc-2967 24 7 followed follow VERB dpc-2967 24 8 by by ADP dpc-2967 24 9 a a DET dpc-2967 24 10 negative negative ADJ dpc-2967 24 11 sentinel sentinel NOUN dpc-2967 24 12 lymph lymph NOUN dpc-2967 24 13 node node NOUN dpc-2967 24 14 procedure procedure NOUN dpc-2967 24 15 and and CCONJ dpc-2967 24 16 a a DET dpc-2967 24 17 computed computed ADJ dpc-2967 24 18 tomography tomography NOUN dpc-2967 24 19 ( ( PUNCT dpc-2967 24 20 ct ct NOUN dpc-2967 24 21 ) ) PUNCT dpc-2967 24 22 scan scan NOUN dpc-2967 24 23 , , PUNCT dpc-2967 24 24 which which PRON dpc-2967 24 25 ruled rule VERB dpc-2967 24 26 out out ADP dpc-2967 24 27 any any DET dpc-2967 24 28 metastases metastasis NOUN dpc-2967 24 29 . . PUNCT dpc-2967 25 1 nine nine NUM dpc-2967 25 2 months month NOUN dpc-2967 25 3 later later ADV dpc-2967 25 4 , , PUNCT dpc-2967 25 5 on on ADP dpc-2967 25 6 the the DET dpc-2967 25 7 positron positron NOUN dpc-2967 25 8 emission emission NOUN dpc-2967 25 9 tomography tomography NOUN dpc-2967 25 10 – – PUNCT dpc-2967 25 11 computed compute VERB dpc-2967 25 12 tomography tomography NOUN dpc-2967 25 13 scan scan VERB dpc-2967 25 14 with with ADP dpc-2967 25 15 2 2 NUM dpc-2967 25 16 - - PUNCT dpc-2967 25 17 deoxy-2- deoxy-2- NOUN dpc-2967 25 18 [ [ PUNCT dpc-2967 25 19 18f 18f NUM dpc-2967 25 20 ] ] PUNCT dpc-2967 25 21 fluoro fluoro NOUN dpc-2967 25 22 - - PUNCT dpc-2967 25 23 d d NOUN dpc-2967 25 24 - - NOUN dpc-2967 25 25 glucose glucose NOUN dpc-2967 25 26 ( ( PUNCT dpc-2967 25 27 2- 2- NOUN dpc-2967 25 28 [ [ PUNCT dpc-2967 25 29 18f]fdg 18f]fdg NUM dpc-2967 25 30 pet pet NOUN dpc-2967 25 31 / / SYM dpc-2967 25 32 ct ct PROPN dpc-2967 25 33 ) ) PUNCT dpc-2967 25 34 , , PUNCT dpc-2967 25 35 performed perform VERB dpc-2967 25 36 for for ADP dpc-2967 25 37 routine routine ADJ dpc-2967 25 38 follow follow NOUN dpc-2967 25 39 - - PUNCT dpc-2967 25 40 up up NOUN dpc-2967 25 41 , , PUNCT dpc-2967 25 42 a a DET dpc-2967 25 43 4 4 NUM dpc-2967 25 44 - - PUNCT dpc-2967 25 45 centimeter centimeter NOUN dpc-2967 25 46 solid solid ADJ dpc-2967 25 47 mass mass NOUN dpc-2967 25 48 with with ADP dpc-2967 25 49 a a DET dpc-2967 25 50 high high ADJ dpc-2967 25 51 uptake uptake NOUN dpc-2967 25 52 ( ( PUNCT dpc-2967 25 53 suvmax suvmax ADV dpc-2967 25 54 10 10 NUM dpc-2967 25 55 ) ) PUNCT dpc-2967 25 56 , , PUNCT dpc-2967 25 57 was be AUX dpc-2967 25 58 found find VERB dpc-2967 25 59 in in ADP dpc-2967 25 60 the the DET dpc-2967 25 61 right right ADJ dpc-2967 25 62 testis testis NOUN dpc-2967 25 63 ( ( PUNCT dpc-2967 25 64 figure figure NOUN dpc-2967 25 65 1 1 NUM dpc-2967 25 66 ) ) PUNCT dpc-2967 25 67 . . PUNCT dpc-2967 26 1 a a DET dpc-2967 26 2     SPACE dpc-2967 26 3 right right ADJ dpc-2967 26 4 radical radical ADJ dpc-2967 26 5 orchiectomy orchiectomy NOUN dpc-2967 26 6 was be AUX dpc-2967 26 7 performed perform VERB dpc-2967 26 8 , , PUNCT dpc-2967 26 9 with with ADP dpc-2967 26 10 the the DET dpc-2967 26 11 suspicion suspicion NOUN dpc-2967 26 12 of of ADP dpc-2967 26 13     SPACE dpc-2967 26 14 a a DET dpc-2967 26 15 germ germ NOUN dpc-2967 26 16 cell cell NOUN dpc-2967 26 17 tumor tumor NOUN dpc-2967 26 18 . . PUNCT dpc-2967 27 1 at at ADP dpc-2967 27 2 histology histology NOUN dpc-2967 27 3 , , PUNCT dpc-2967 27 4 the the DET dpc-2967 27 5 mass mass NOUN dpc-2967 27 6 was be AUX dpc-2967 27 7 composed compose VERB dpc-2967 27 8 2 2 NUM dpc-2967 27 9 letter letter NOUN dpc-2967 27 10 to to ADP dpc-2967 27 11 the the DET dpc-2967 27 12 editor editor NOUN dpc-2967 27 13 | | ADV dpc-2967 27 14 dermatol dermatol ADJ dpc-2967 27 15 pract pract NOUN dpc-2967 27 16 concept concept NOUN dpc-2967 27 17 . . PUNCT dpc-2967 28 1 2023;13(4):e2023213 2023;13(4):e2023213 NUM dpc-2967 28 2 figure figure NOUN dpc-2967 28 3 1 1 NUM dpc-2967 28 4 . . PUNCT dpc-2967 29 1 ( ( PUNCT dpc-2967 29 2 a a X dpc-2967 29 3 ) ) PUNCT dpc-2967 30 1 [ [ X dpc-2967 30 2 18f]f 18f]f NUM dpc-2967 30 3 - - PUNCT dpc-2967 30 4 fdg fdg VERB dpc-2967 30 5 pet pet PROPN dpc-2967 30 6 / / SYM dpc-2967 30 7 ct ct PROPN dpc-2967 30 8 transaxial transaxial ADJ dpc-2967 30 9 images image NOUN dpc-2967 30 10 with with ADP dpc-2967 30 11 low low ADV dpc-2967 30 12 - - PUNCT dpc-2967 30 13 dose dose NOUN dpc-2967 30 14 ct ct PROPN dpc-2967 30 15 . . PUNCT dpc-2967 31 1 ( ( PUNCT dpc-2967 31 2 b b X dpc-2967 31 3 ) ) PUNCT dpc-2967 31 4 pet pet NOUN dpc-2967 31 5 . . PUNCT dpc-2967 32 1 ( ( PUNCT dpc-2967 32 2 c c X dpc-2967 32 3 ) ) PUNCT dpc-2967 32 4 image image NOUN dpc-2967 32 5 fused fuse VERB dpc-2967 32 6 pet pet NOUN dpc-2967 32 7 / / SYM dpc-2967 32 8 ct ct PROPN dpc-2967 32 9 . . PUNCT dpc-2967 33 1 ( ( PUNCT dpc-2967 33 2 d d X dpc-2967 33 3 ) ) PUNCT dpc-2967 33 4 maximum maximum ADJ dpc-2967 33 5 intensity intensity NOUN dpc-2967 33 6 projection projection NOUN dpc-2967 33 7 ( ( PUNCT dpc-2967 33 8 mip mip PROPN dpc-2967 33 9 ) ) PUNCT dpc-2967 33 10 . . PUNCT dpc-2967 34 1 the the DET dpc-2967 34 2 red red ADJ dpc-2967 34 3 arrows arrow NOUN dpc-2967 34 4 in in ADP dpc-2967 34 5 images image NOUN dpc-2967 34 6 b b NOUN dpc-2967 34 7 , , PUNCT dpc-2967 34 8 c c PROPN dpc-2967 34 9 and and CCONJ dpc-2967 34 10 d d PROPN dpc-2967 34 11 , , PUNCT dpc-2967 34 12 shows show VERB dpc-2967 34 13 a a DET dpc-2967 34 14 focal focal ADJ dpc-2967 34 15 uptake uptake NOUN dpc-2967 34 16 ( ( PUNCT dpc-2967 34 17 suvmax suvmax ADV dpc-2967 34 18 10 10 NUM dpc-2967 34 19 ) ) PUNCT dpc-2967 34 20 in in ADP dpc-2967 34 21 the the DET dpc-2967 34 22 right right ADJ dpc-2967 34 23 testis testis NOUN dpc-2967 34 24 . . PUNCT dpc-2967 35 1 of of ADP dpc-2967 35 2 neoplastic neoplastic ADJ dpc-2967 35 3 epithelial epithelial ADJ dpc-2967 35 4 cells cell NOUN dpc-2967 35 5 with with ADP dpc-2967 35 6 fine fine ADJ dpc-2967 35 7 granular granular ADJ dpc-2967 35 8 chromatin chromatin NOUN dpc-2967 35 9 and and CCONJ dpc-2967 35 10 nuclear nuclear ADJ dpc-2967 35 11 molding molding NOUN dpc-2967 35 12 ( ( PUNCT dpc-2967 35 13 figure figure NOUN dpc-2967 35 14 2a 2a NUM dpc-2967 35 15 ) ) PUNCT dpc-2967 35 16 , , PUNCT dpc-2967 35 17 immunohistochemically immunohistochemically ADV dpc-2967 35 18 positive positive ADJ dpc-2967 35 19 with with ADP dpc-2967 35 20 keratin keratin NOUN dpc-2967 35 21 20 20 NUM dpc-2967 35 22 ( ( PUNCT dpc-2967 35 23 figure figure NOUN dpc-2967 35 24 2b 2b NOUN dpc-2967 35 25 ) ) PUNCT dpc-2967 35 26 and and CCONJ dpc-2967 35 27 chromogranin chromogranin NOUN dpc-2967 35 28 . . PUNCT dpc-2967 36 1 anti anti PROPN dpc-2967 36 2 mcpyv mcpyv ADJ dpc-2967 36 3 antibody antibody NOUN dpc-2967 36 4 was be AUX dpc-2967 36 5 positive positive ADJ dpc-2967 36 6 as as ADV dpc-2967 36 7 well well ADV dpc-2967 36 8 ( ( PUNCT dpc-2967 36 9 figure figure NOUN dpc-2967 36 10 2c 2c NUM dpc-2967 36 11 ) ) PUNCT dpc-2967 36 12 . . PUNCT dpc-2967 37 1 overall overall ADJ dpc-2967 37 2 , , PUNCT dpc-2967 37 3 morphological morphological ADJ dpc-2967 37 4 findings finding NOUN dpc-2967 37 5 were be AUX dpc-2967 37 6 suggestive suggestive ADJ dpc-2967 37 7 of of ADP dpc-2967 37 8 a a DET dpc-2967 37 9 metastasis metastasis NOUN dpc-2967 37 10 from from ADP dpc-2967 37 11 a a DET dpc-2967 37 12 mcc mcc NOUN dpc-2967 37 13 . . PUNCT dpc-2967 38 1 a a DET dpc-2967 38 2 subsequent subsequent ADJ dpc-2967 38 3 total total ADJ dpc-2967 38 4 body body NOUN dpc-2967 38 5 ct ct PROPN dpc-2967 38 6 scan scan NOUN dpc-2967 38 7 excluded exclude VERB dpc-2967 38 8 any any DET dpc-2967 38 9 further further ADJ dpc-2967 38 10 localization localization NOUN dpc-2967 38 11 . . PUNCT dpc-2967 39 1 testis testis NOUN dpc-2967 39 2 is be AUX dpc-2967 39 3 a a DET dpc-2967 39 4 very very ADV dpc-2967 39 5 rare rare ADJ dpc-2967 39 6 metastatic metastatic ADJ dpc-2967 39 7 site site NOUN dpc-2967 39 8 from from ADP dpc-2967 39 9 mcc mcc PROPN dpc-2967 40 1 [ [ X dpc-2967 40 2 2 2 NUM dpc-2967 40 3 - - SYM dpc-2967 40 4 6 6 NUM dpc-2967 40 5 ] ] PUNCT dpc-2967 40 6 . . PUNCT dpc-2967 41 1 in in ADP dpc-2967 41 2 a a DET dpc-2967 41 3 recent recent ADJ dpc-2967 41 4 review review NOUN dpc-2967 41 5 [ [ X dpc-2967 41 6 6 6 NUM dpc-2967 41 7 ] ] PUNCT dpc-2967 41 8 , , PUNCT dpc-2967 41 9 only only ADV dpc-2967 41 10 eleven eleven NUM dpc-2967 41 11 cases case NOUN dpc-2967 41 12 of of ADP dpc-2967 41 13 testicular testicular ADJ dpc-2967 41 14 mcc mcc NOUN dpc-2967 41 15 metastases metastasis NOUN dpc-2967 41 16 are be AUX dpc-2967 41 17 reported report VERB dpc-2967 41 18 in in ADP dpc-2967 41 19 literature literature NOUN dpc-2967 41 20 . . PUNCT dpc-2967 42 1 at at ADP dpc-2967 42 2 variance variance NOUN dpc-2967 42 3 with with ADP dpc-2967 42 4 the the DET dpc-2967 42 5 present present ADJ dpc-2967 42 6 cases case NOUN dpc-2967 42 7 , , PUNCT dpc-2967 42 8 most most ADJ dpc-2967 42 9 patients patient NOUN dpc-2967 42 10 presented present VERB dpc-2967 42 11 with with ADP dpc-2967 42 12 already already ADV dpc-2967 42 13 advanced advanced ADJ dpc-2967 42 14 or or CCONJ dpc-2967 42 15 locally locally ADV dpc-2967 42 16 advanced advanced ADJ dpc-2967 42 17 stage stage NOUN dpc-2967 42 18 at at ADP dpc-2967 42 19 diagnosis diagnosis NOUN dpc-2967 42 20 . . PUNCT dpc-2967 43 1 according accord VERB dpc-2967 43 2 to to ADP dpc-2967 43 3 the the DET dpc-2967 43 4 authors author NOUN dpc-2967 43 5 , , PUNCT dpc-2967 43 6 single single ADJ dpc-2967 43 7 testis testis NOUN dpc-2967 43 8 metastasis metastasis NOUN dpc-2967 43 9 does do AUX dpc-2967 43 10 not not PART dpc-2967 43 11 necessarily necessarily ADV dpc-2967 43 12 mean mean VERB dpc-2967 43 13 a a DET dpc-2967 43 14 systemic systemic ADJ dpc-2967 43 15 disease disease NOUN dpc-2967 43 16 as as SCONJ dpc-2967 43 17 the the DET dpc-2967 43 18 patients patient NOUN dpc-2967 43 19 without without ADP dpc-2967 43 20 other other ADJ dpc-2967 43 21 extra extra ADJ dpc-2967 43 22 - - PUNCT dpc-2967 43 23 testicular testicular ADJ dpc-2967 43 24 localization localization NOUN dpc-2967 43 25 experimented experiment VERB dpc-2967 43 26 a a DET dpc-2967 43 27 survival survival NOUN dpc-2967 43 28 longer long ADV dpc-2967 43 29 than than ADP dpc-2967 43 30 1 1 NUM dpc-2967 43 31 year year NOUN dpc-2967 43 32 [ [ X dpc-2967 43 33 6 6 NUM dpc-2967 43 34 ] ] PUNCT dpc-2967 43 35 . . PUNCT dpc-2967 44 1 in in ADP dpc-2967 44 2 mcc mcc PROPN dpc-2967 44 3 , , PUNCT dpc-2967 44 4 the the DET dpc-2967 44 5 main main ADJ dpc-2967 44 6 prognostic prognostic ADJ dpc-2967 44 7 factors factor NOUN dpc-2967 44 8 are be AUX dpc-2967 44 9 regional regional ADJ dpc-2967 44 10 and and CCONJ dpc-2967 44 11 distant distant ADJ dpc-2967 44 12 metastases metastasis NOUN dpc-2967 44 13 . . PUNCT dpc-2967 45 1 if if SCONJ dpc-2967 45 2 localized localize VERB dpc-2967 45 3 , , PUNCT dpc-2967 45 4 mcc mcc NOUN dpc-2967 45 5 carries carry VERB dpc-2967 45 6 the the DET dpc-2967 45 7 best good ADJ dpc-2967 45 8 prognosis prognosis NOUN dpc-2967 45 9 ( ( PUNCT dpc-2967 45 10 50.6 50.6 NUM dpc-2967 45 11 % % NOUN dpc-2967 45 12 5 5 NUM dpc-2967 45 13 - - PUNCT dpc-2967 45 14 year year NOUN dpc-2967 45 15 overall overall ADJ dpc-2967 45 16 survival survival NOUN dpc-2967 45 17 [ [ X dpc-2967 45 18 os os NOUN dpc-2967 45 19 ] ] X dpc-2967 45 20 rate rate NOUN dpc-2967 45 21 ) ) PUNCT dpc-2967 45 22 . . PUNCT dpc-2967 46 1 in in ADP dpc-2967 46 2 regional regional ADJ dpc-2967 46 3 and and CCONJ dpc-2967 46 4 distant distant ADJ dpc-2967 46 5 disease disease NOUN dpc-2967 46 6 , , PUNCT dpc-2967 46 7 5 5 NUM dpc-2967 46 8 - - PUNCT dpc-2967 46 9 year year NOUN dpc-2967 46 10 os os NOUN dpc-2967 46 11 was be AUX dpc-2967 46 12 estimated estimate VERB dpc-2967 46 13 to to PART dpc-2967 46 14 be be AUX dpc-2967 46 15 35.4 35.4 NUM dpc-2967 46 16 % % NOUN dpc-2967 46 17 and and CCONJ dpc-2967 46 18 13.5 13.5 NUM dpc-2967 46 19 % % NOUN dpc-2967 46 20 , , PUNCT dpc-2967 46 21 respectively respectively ADV dpc-2967 46 22 [ [ X dpc-2967 46 23 1 1 NUM dpc-2967 46 24 ] ] PUNCT dpc-2967 46 25 . . PUNCT dpc-2967 47 1 the the DET dpc-2967 47 2 surveillance surveillance NOUN dpc-2967 47 3 strategies strategy NOUN dpc-2967 47 4 during during ADP dpc-2967 47 5 follow follow VERB dpc-2967 47 6 up up ADP dpc-2967 47 7 are be AUX dpc-2967 47 8 therefore therefore ADV dpc-2967 47 9 crucial crucial ADJ dpc-2967 47 10 . . PUNCT dpc-2967 48 1 as as SCONJ dpc-2967 48 2 examination examination NOUN dpc-2967 48 3 of of ADP dpc-2967 48 4 the the DET dpc-2967 48 5 genitals genital NOUN dpc-2967 48 6 is be AUX dpc-2967 48 7 not not PART dpc-2967 48 8 usually usually ADV dpc-2967 48 9 included include VERB dpc-2967 48 10 in in ADP dpc-2967 48 11 routine routine ADJ dpc-2967 48 12 follow follow NOUN dpc-2967 48 13 - - PUNCT dpc-2967 48 14 up up NOUN dpc-2967 48 15 of of ADP dpc-2967 48 16 mcc mcc NOUN dpc-2967 48 17 , , PUNCT dpc-2967 48 18 dermatologists dermatologist NOUN dpc-2967 48 19 should should AUX dpc-2967 48 20 at at ADP dpc-2967 48 21 least least ADJ dpc-2967 48 22 advice advice NOUN dpc-2967 48 23 patients patient NOUN dpc-2967 48 24 on on ADP dpc-2967 48 25 self self NOUN dpc-2967 48 26 - - PUNCT dpc-2967 48 27 examination examination NOUN dpc-2967 48 28 . . PUNCT dpc-2967 49 1 letter letter NOUN dpc-2967 49 2 to to ADP dpc-2967 49 3 the the DET dpc-2967 49 4 editor editor NOUN dpc-2967 49 5 | | ADV dpc-2967 49 6 dermatol dermatol ADJ dpc-2967 49 7 pract pract NOUN dpc-2967 49 8 concept concept NOUN dpc-2967 49 9 . . PUNCT dpc-2967 50 1 2023;13(4):e2023213 2023;13(4):e2023213 NUM dpc-2967 50 2 3 3 NUM dpc-2967 50 3 references reference NOUN dpc-2967 50 4 1 1 NUM dpc-2967 50 5 . . PUNCT dpc-2967 50 6 gauci gauci PROPN dpc-2967 50 7 ml ml PROPN dpc-2967 50 8 , , PUNCT dpc-2967 50 9 aristei aristei NOUN dpc-2967 50 10 c c PROPN dpc-2967 50 11 , , PUNCT dpc-2967 50 12 becker becker PROPN dpc-2967 50 13 jc jc PROPN dpc-2967 50 14 , , PUNCT dpc-2967 50 15 et et PROPN dpc-2967 50 16 al al PROPN dpc-2967 50 17 . . PUNCT dpc-2967 50 18 diagnosis diagnosis NOUN dpc-2967 50 19 and and CCONJ dpc-2967 50 20 treatment treatment NOUN dpc-2967 50 21 of of ADP dpc-2967 50 22     SPACE dpc-2967 50 23 merkel merkel NOUN dpc-2967 50 24     SPACE dpc-2967 50 25 cell cell NOUN dpc-2967 50 26     SPACE dpc-2967 50 27 carcinoma carcinoma NOUN dpc-2967 50 28 : : PUNCT dpc-2967 50 29 european european ADJ dpc-2967 50 30 consensus consensus NOUN dpc-2967 50 31 - - PUNCT dpc-2967 50 32 based base VERB dpc-2967 50 33 interdisciplinary interdisciplinary ADJ dpc-2967 50 34 guideline guideline NOUN dpc-2967 50 35 update update NOUN dpc-2967 50 36 2022 2022 NUM dpc-2967 50 37 . . PUNCT dpc-2967 51 1 eur eur PROPN dpc-2967 51 2 j j PROPN dpc-2967 51 3 cancer cancer NOUN dpc-2967 51 4 . . PUNCT dpc-2967 52 1 2022;171 2022;171 NUM dpc-2967 52 2 : : PUNCT dpc-2967 52 3 203 203 NUM dpc-2967 52 4 - - SYM dpc-2967 52 5 231 231 NUM dpc-2967 52 6 . . PUNCT dpc-2967 53 1 doi doi NOUN dpc-2967 53 2 : : PUNCT dpc-2967 53 3 10.1016 10.1016 NUM dpc-2967 53 4 / / SYM dpc-2967 53 5 j.ejca.2022.03.043 j.ejca.2022.03.043 PROPN dpc-2967 53 6 . . PUNCT dpc-2967 53 7     SPACE dpc-2967 54 1 pmid pmid NOUN dpc-2967 54 2 : : PUNCT dpc-2967 54 3     SPACE dpc-2967 54 4 35732101 35732101 NUM dpc-2967 54 5 . . PUNCT dpc-2967 55 1 2 2 X dpc-2967 55 2 . . X dpc-2967 55 3 tummala tummala PROPN dpc-2967 55 4 mk mk PROPN dpc-2967 55 5 , , PUNCT dpc-2967 55 6 hausner hausner PROPN dpc-2967 55 7 pf pf PROPN dpc-2967 55 8 , , PUNCT dpc-2967 55 9 mcguire mcguire PROPN dpc-2967 55 10 wp wp PROPN dpc-2967 55 11 , , PUNCT dpc-2967 55 12 gipson gipson PROPN dpc-2967 55 13 t t PROPN dpc-2967 55 14 , , PUNCT dpc-2967 55 15 berkman berkman PROPN dpc-2967 55 16 a. a. NOUN dpc-2967 55 17 case case NOUN dpc-2967 55 18 1 1 X dpc-2967 55 19 . . PUNCT dpc-2967 56 1 testis testis NOUN dpc-2967 56 2 : : PUNCT dpc-2967 56 3 a a DET dpc-2967 56 4 sanctuary sanctuary ADJ dpc-2967 56 5 site site NOUN dpc-2967 56 6 in in ADP dpc-2967 56 7 merkel merkel PROPN dpc-2967 56 8 cell cell NOUN dpc-2967 56 9 carcinoma carcinoma NOUN dpc-2967 56 10 . . PUNCT dpc-2967 57 1 j j PROPN dpc-2967 57 2 clin clin PROPN dpc-2967 57 3 oncol oncol PROPN dpc-2967 57 4 . . PUNCT dpc-2967 58 1 2006;24(6):1008–1009 2006;24(6):1008–1009 NUM dpc-2967 58 2 . . PUNCT dpc-2967 59 1 doi doi PROPN dpc-2967 59 2 : : PUNCT dpc-2967 59 3 10.1200 10.1200 NUM dpc-2967 59 4 /jco.2005.01.7103 /jco.2005.01.7103 PUNCT dpc-2967 59 5 . . PUNCT dpc-2967 60 1 pmid pmid NOUN dpc-2967 60 2 : : PUNCT dpc-2967 60 3     SPACE dpc-2967 60 4 16484705 16484705 NUM dpc-2967 60 5 . . PUNCT dpc-2967 61 1 3 3 X dpc-2967 61 2 . . X dpc-2967 61 3 whitman whitman PROPN dpc-2967 61 4 ej ej PROPN dpc-2967 61 5 , , PUNCT dpc-2967 61 6 brassell brassell PROPN dpc-2967 61 7 sa sa PROPN dpc-2967 61 8 , , PUNCT dpc-2967 61 9 rosner rosner PROPN dpc-2967 61 10 il il PROPN dpc-2967 61 11 , , PUNCT dpc-2967 61 12 moncur moncur PROPN dpc-2967 61 13 jt jt PROPN dpc-2967 61 14 . . PUNCT dpc-2967 62 1 merkel merkel PROPN dpc-2967 62 2 cell cell NOUN dpc-2967 62 3 carcinoma carcinoma NOUN dpc-2967 62 4 as as ADP dpc-2967 62 5 a a DET dpc-2967 62 6 solitary solitary ADJ dpc-2967 62 7 metastasis metastasis NOUN dpc-2967 62 8 to to ADP dpc-2967 62 9 the the DET dpc-2967 62 10 testis testis NOUN dpc-2967 62 11 . . PUNCT dpc-2967 63 1 j j PROPN dpc-2967 63 2 clin clin PROPN dpc-2967 63 3 oncol oncol PROPN dpc-2967 63 4 . . PUNCT dpc-2967 64 1 2007;25(24):3785–3786 2007;25(24):3785–3786 X dpc-2967 64 2 . . PUNCT dpc-2967 64 3 doi doi NOUN dpc-2967 64 4 : : PUNCT dpc-2967 64 5 10.1200 10.1200 NUM dpc-2967 64 6 / / SYM dpc-2967 64 7 jco.2007.12.3091 jco.2007.12.3091 PROPN dpc-2967 64 8 . . PUNCT dpc-2967 65 1 pmid pmid NOUN dpc-2967 65 2 : : PUNCT dpc-2967 65 3     SPACE dpc-2967 65 4 17704430 17704430 NUM dpc-2967 65 5 . . PUNCT dpc-2967 66 1 4 4 X dpc-2967 66 2 . . X dpc-2967 66 3 mweempwa mweempwa PROPN dpc-2967 66 4 a a PRON dpc-2967 66 5 , , PUNCT dpc-2967 66 6 tan tan PROPN dpc-2967 66 7 a a PRON dpc-2967 66 8 , , PUNCT dpc-2967 66 9 dray dray ADJ dpc-2967 66 10 m. m. NOUN dpc-2967 66 11 recurrent recurrent PROPN dpc-2967 66 12 merkel merkel PROPN dpc-2967 66 13 cell cell NOUN dpc-2967 66 14 carcinoma carcinoma NOUN dpc-2967 66 15 of of ADP dpc-2967 66 16 the the DET dpc-2967 66 17 testis testis NOUN dpc-2967 66 18 with with ADP dpc-2967 66 19 unknown unknown ADJ dpc-2967 66 20 primary primary ADJ dpc-2967 66 21 site site NOUN dpc-2967 66 22 : : PUNCT dpc-2967 66 23 a a DET dpc-2967 66 24 case case NOUN dpc-2967 66 25 report report NOUN dpc-2967 66 26 . . PUNCT dpc-2967 67 1 j j PROPN dpc-2967 67 2 med med PROPN dpc-2967 67 3 case case PROPN dpc-2967 67 4 rep rep PROPN dpc-2967 67 5 . . PROPN dpc-2967 67 6 2016 2016 NUM dpc-2967 67 7 10(1):314 10(1):314 NOUN dpc-2967 67 8 . . PUNCT dpc-2967 68 1 doi doi NOUN dpc-2967 68 2 : : PUNCT dpc-2967 68 3 10.1186 10.1186 NUM dpc-2967 68 4 / / SYM dpc-2967 68 5 s13256 s13256 PROPN dpc-2967 68 6 - - PUNCT dpc-2967 68 7 016 016 NUM dpc-2967 68 8 - - PUNCT dpc-2967 68 9 1102 1102 NUM dpc-2967 68 10 - - SYM dpc-2967 68 11 5 5 NUM dpc-2967 68 12 .pmid .pmid NOUN dpc-2967 68 13 : : PUNCT dpc-2967 68 14     SPACE dpc-2967 68 15 27814751 27814751 NUM dpc-2967 68 16 . . PUNCT dpc-2967 69 1 pmcid pmcid NOUN dpc-2967 69 2 : : PUNCT dpc-2967 69 3 pmc5097413 pmc5097413 ADJ dpc-2967 69 4 . . PUNCT dpc-2967 70 1 5 5 X dpc-2967 70 2 . . X dpc-2967 70 3 gigliano gigliano PROPN dpc-2967 70 4 d d PROPN dpc-2967 70 5 , , PUNCT dpc-2967 70 6 lobo lobo PROPN dpc-2967 70 7 j j PROPN dpc-2967 70 8 , , PUNCT dpc-2967 70 9 lopes lopes PROPN dpc-2967 70 10 p p X dpc-2967 70 11 , , PUNCT dpc-2967 70 12 et et PROPN dpc-2967 70 13 al al PROPN dpc-2967 70 14 . . PROPN dpc-2967 70 15 merkel merkel PROPN dpc-2967 70 16     SPACE dpc-2967 70 17 cell cell NOUN dpc-2967 70 18     SPACE dpc-2967 70 19 carcinoma carcinoma NOUN dpc-2967 70 20     SPACE dpc-2967 70 21 metastatic metastatic NOUN dpc-2967 70 22 to to ADP dpc-2967 70 23 the the DET dpc-2967 70 24     SPACE dpc-2967 70 25 testis testis NOUN dpc-2967 70 26 : : PUNCT dpc-2967 70 27 report report NOUN dpc-2967 70 28 of of ADP dpc-2967 70 29 a a DET dpc-2967 70 30 rare rare ADJ dpc-2967 70 31 diagnosis diagnosis NOUN dpc-2967 70 32 and and CCONJ dpc-2967 70 33 review review NOUN dpc-2967 70 34 of of ADP dpc-2967 70 35 the the DET dpc-2967 70 36 literature literature NOUN dpc-2967 70 37 . . PUNCT dpc-2967 71 1 autops autops PROPN dpc-2967 71 2 case case NOUN dpc-2967 71 3 rep rep PROPN dpc-2967 71 4 . . PROPN dpc-2967 71 5 2020;11 2020;11 NUM dpc-2967 71 6 : : PUNCT dpc-2967 71 7 e2020198 e2020198 NOUN dpc-2967 71 8 . . PUNCT dpc-2967 72 1 doi doi NOUN dpc-2967 72 2 : : PUNCT dpc-2967 72 3 10.4322 10.4322 NUM dpc-2967 72 4 / / SYM dpc-2967 72 5 acr.2020.198 acr.2020.198 PROPN dpc-2967 72 6 . . PUNCT dpc-2967 73 1 pmid pmid NOUN dpc-2967 73 2 : : PUNCT dpc-2967 73 3     SPACE dpc-2967 73 4 34277480 34277480 NUM dpc-2967 73 5 . . PUNCT dpc-2967 74 1 pmcid pmcid NOUN dpc-2967 74 2 : : PUNCT dpc-2967 74 3 pmc8101657 pmc8101657 PROPN dpc-2967 74 4 . . PUNCT dpc-2967 75 1 6 6 X dpc-2967 75 2 . . X dpc-2967 75 3 laffi laffi PROPN dpc-2967 75 4 a a PRON dpc-2967 75 5 , , PUNCT dpc-2967 75 6 cozzi cozzi NOUN dpc-2967 75 7 g g PROPN dpc-2967 75 8 , , PUNCT dpc-2967 75 9 spada spada PROPN dpc-2967 75 10 f f PROPN dpc-2967 75 11 , , PUNCT dpc-2967 75 12 et et PROPN dpc-2967 76 1 al al PROPN dpc-2967 76 2 . . PROPN dpc-2967 77 1 metachronous metachronous ADJ dpc-2967 77 2 testicular testicular ADJ dpc-2967 77 3 metastases metastasis NOUN dpc-2967 77 4 from from ADP dpc-2967 77 5 merkel merkel PROPN dpc-2967 77 6 cell cell NOUN dpc-2967 77 7 carcinoma carcinoma NOUN dpc-2967 77 8 ( ( PUNCT dpc-2967 77 9 mcc mcc NOUN dpc-2967 77 10 ): ): PUNCT dpc-2967 77 11 a a DET dpc-2967 77 12 case case NOUN dpc-2967 77 13 report report NOUN dpc-2967 77 14 and and CCONJ dpc-2967 77 15 literature literature PROPN dpc-2967 77 16 review review PROPN dpc-2967 77 17 . . PUNCT dpc-2967 78 1 am be AUX dpc-2967 78 2 j j PROPN dpc-2967 78 3 case case NOUN dpc-2967 78 4 rep rep PROPN dpc-2967 78 5 . . PROPN dpc-2967 78 6 2022;23 2022;23 NUM dpc-2967 78 7 : : PUNCT dpc-2967 78 8 e936552 e936552 NOUN dpc-2967 78 9 . . PUNCT dpc-2967 78 10 doi doi NOUN dpc-2967 78 11 : : PUNCT dpc-2967 78 12 10.12659 10.12659 NUM dpc-2967 78 13 / / SYM dpc-2967 78 14 ajcr.936552 ajcr.936552 NOUN dpc-2967 78 15 . . NOUN dpc-2967 79 1 pmid pmid PROPN dpc-2967 79 2 : : PUNCT dpc-2967 79 3     SPACE dpc-2967 79 4 36031755 36031755 NUM dpc-2967 79 5 . . PUNCT dpc-2967 80 1 pmcid pmcid NOUN dpc-2967 80 2 : : PUNCT dpc-2967 80 3 pmc9438938 pmc9438938 ADJ dpc-2967 80 4 . . PUNCT dpc-2967 81 1 figure figure NOUN dpc-2967 81 2 2 2 NUM dpc-2967 81 3 . . PUNCT dpc-2967 82 1 ( ( PUNCT dpc-2967 82 2 a a X dpc-2967 82 3 ) ) PUNCT dpc-2967 82 4 mcc mcc NOUN dpc-2967 82 5 growing grow VERB dpc-2967 82 6 through through ADP dpc-2967 82 7 the the DET dpc-2967 82 8 seminiferous seminiferous ADJ dpc-2967 82 9 tubules tubule NOUN dpc-2967 82 10 of of ADP dpc-2967 82 11 the the DET dpc-2967 82 12 testicular testicular ADJ dpc-2967 82 13 parenchyma parenchyma NOUN dpc-2967 82 14 . . PUNCT dpc-2967 83 1 ( ( PUNCT dpc-2967 83 2 b b X dpc-2967 83 3 ) ) PUNCT dpc-2967 83 4     SPACE dpc-2967 83 5 mcc mcc PROPN dpc-2967 83 6 immunohistochemical immunohistochemical ADJ dpc-2967 83 7 positivity positivity NOUN dpc-2967 83 8 with with ADP dpc-2967 83 9 cytokeratin cytokeratin NOUN dpc-2967 83 10 20 20 NUM dpc-2967 83 11 . . PUNCT dpc-2967 84 1 ( ( PUNCT dpc-2967 84 2 c c X dpc-2967 84 3 ) ) PUNCT dpc-2967 84 4 mcpyv mcpyv NOUN dpc-2967 84 5 is be AUX dpc-2967 84 6 detected detect VERB dpc-2967 84 7 in in ADP dpc-2967 84 8 neoplastic neoplastic ADJ dpc-2967 84 9 cells cell NOUN dpc-2967 84 10 . . PUNCT