[Merkel cell carcinoma is a rare, aggressive neuroendocrine skin cancer]

Merkel cell carcinoma (MCC) is a rare, aggressive skin cancer with a poor survival rate. The low incidence and lack of characteristic manifestation of MCC often cause an incorrect diagnosis. A 92-year-old male presented with an asymptomatic, smooth lesion on the right cheek, which was initially diagnosed as a basal cell carcinoma. After histological diagnosis of MCC the patient underwent radical surgery, but developed metastases later. Attention to the diagnosis of this condition, patient history and initial presentation can provide clues in order to offer the right treatment with minimal delay.