Merkel cell carcinoma presenting as a rapidly growing mass in an elderly Chinese lady 麥克爾氏細胞癌表現為年老患者的快速增大腫塊

Yau Ma Tei Dermatology Clinic, 12/F, Yau Ma Tei Specialist Clinic, 143 Battery Street, Kowloon, Hong Kong A 73-year-old Chinese lady presented with a rapidly enlarging submental mass that easily bled on contact. Incisional skin biopsy revealed Merkel cell carcinoma. CT scan of neck with contrast showed that the mass extended up to 10 mm deep to the platysma at the supraglottic and glottic level. There was no evidence of local invasion deep to the thyroid cartilage. Tiny lymph nodes were noted along both carotid spaces. The mass was removed with wide excisonal margin with no skin graft. The resection margins were clear. The patient was followed up regularly looking for recurrence.