경부 림프절 전이를 동반한 협부의 Merkel Cell Carcinoma 1예

Merkel cell carcinoma (MCC) is rare primary neuroendocrine skin tumor that usually arises in the head and neck or extremities of elderly patients. MCC has a high incidence of locoregional recurrence with distant metastasis. The treatment of choice is wide local excision of the primary lesion and regional lymph nodes followed by irradiation. I experienced a case of MCC in the cheek area with submandibular lymph node metastasis. The patient died of metastatic disease 13 months after operation. I report this case with review of literatures. (J Clinical Otolaryngol 2005;16:323-326)