Table of Content


Autumn 2004, Vol. 12 No. 3

H.K. Dermatol. Venereol. Bull. (2004) 12, 152-155

Case Report

Merkel cell carcinoma presenting as a rapidly growing mass in an elderly Chinese lady

PT Chan 陳寶德, SC Chiu 趙善存, FCS Leung 梁志珊

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.