Case Report of Merkel Cell Carcinoma in 5th Finger

Merkel cell carcinoma is an uncommon cutaneous tumor that is considerable locally aggressive and often spreads regionally through lymphatic channels. Evaluation of surgical treatment methods has been hampered by the low incidence of this tumor. Current standards of treatment include wide surgical excision and regional lymphadenectomy if clinically suspicious nodes are present. We report a first case of Merkel cell carcinoma in a 48-year-old female. She had solitary subcutaneous mass on left 5th finger. Wide local excision 1.5 cm along margin was done, and wound was covered by reverse radial forearm fascial flap. One month later, axillary lymph node was enlarged and treated by radiotherapy. Further evaluation and follow-up were needed.