Merkel cell carcinoma (MCC) is a rare type of skin cancer that usually appears as a flesh-colored or bluish-red nodule on the face, neck, or scalp. It is more common in older adults and people with weakened immune systems. MCC can grow quickly and spread to other parts of the body, so early diagnosis and treatment are important.
The most common symptom of MCC is a painless, firm lump on the skin. Other symptoms may include:
If you notice any of these symptoms, especially if they don't go away after a few weeks, you should see a doctor. MCC can be mistaken for other types of skin cancer or benign skin conditions, so a biopsy is usually needed to confirm the diagnosis.
To diagnose MCC, a doctor will examine the affected area and take a small sample of tissue from the lesion. This is called a biopsy. The tissue sample will be sent to a laboratory for analysis to determine if it is cancerous, and if so, what type of cancer it is.
If the biopsy confirms MCC, additional tests may be done to determine if the cancer has spread to other parts of the body. These may include imaging tests like CT scans or PET scans, or lymph node biopsies.
Treatment for MCC usually involves surgery to remove the lesion and some of the surrounding tissue. In some cases, radiation therapy may be used to kill any cancer cells that may remain after surgery. Chemotherapy may also be used if the cancer has spread to other parts of the body.
If you have been diagnosed with MCC, it's important to work closely with your doctor to develop a treatment plan that is right for you. With early diagnosis and treatment, the outlook for MCC can be good.
Merkel cell carcinoma of the scalp and neck is a rare but serious type of skin cancer that requires prompt diagnosis and treatment. If you notice any unusual lumps, swelling, or discoloration on your scalp or neck, see a doctor right away. With proper care, the outlook for MCC can be positive.