A RARE CASE PRESENTATION :MERKEL CELL CARCINOMA OF SCALP WITH SECONDARY NECK.

Abstract

Merkel cell carcinoma is a rare Neuroendocrine malignancy arising in the skin. majority of tumor present on face, head extremities and trunk and  secondary  sites are skin lymph nodes, liver, lung and brain. It appears as flesh colored bluish red  nodule .sun exposure and having weak immune system effect the risk of merkel cel carcinoma. human polyoma virus is thought to be etiologic agent in significant proportion.  Most often develops in older people