A 60-year-old man presented with a dome-shaped, red skin nodule in the left cervical region. The lesion grew rapidly and reached 30mm in a few weeks. A skin biopsy showed clusters of tumor cells extending from the upper dermis to the subcutaneous tissue (Figs. 79.1 and 79.2). The epidermis was not involved. Physical examination revealed no superficial lymphadenopathy.


Skin Biopsy Postoperative Radiation Therapy Small Cell Carcinoma Merkel Cell Carcinoma Regional Lymph Node Involvement 


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