Merkel cell carcinoma – an unpleasant situation in a family medicine

  • Franc Beigot Franc Beigot – general medical practitioner, Selnica ob Dravi, Slovenia
Keywords: Excision of tumor, general practice, Merkel cell carcer, refusal of treatment


Introduction: Mercel cell carcinoma (MCC) is a rare, aggressive and often lethal neuroendocrine skin cancer. The cancer of these cells was first described by Toker in 1972. It can clinically look like benign skin lesion. Removing the tumor in the family medicine is a rare report in literature.

Case report: This report describes a case of the removal MCC, the size of approximately less than 1 cm on the right wrist at an 80-year-old lady, which was initially given the clinical impression of the inflamed cyst. Immediately after the incision, it was clear that it was a solid tumor, which was then completely excised and sent to the pathologist. The result was MCC, the edge and the bottom were not removed in healthy. The patient was immediately sent for further treatment to the oncologist, but she refused further treatment. 4 years and 2 months after removal of the tumor, there are no clinical signs of local recurrence or systemic signs of progression.


Conclusion: A family doctor who works in remote rural areas, more often than others have to use surgical skills. In addition, it can encounter rare and malignant tumors, which can be resolved only with the pathologist.


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How to Cite
Beigot F. Merkel cell carcinoma – an unpleasant situation in a family medicine. ZdravVestn [Internet]. 10Mar.2020 [cited 6Apr.2020];89(1-2):85-1. Available from:
Case report, short scientific article