title: Metachronous merkel cell carcinoma: a case report.
abstract: Merkel cell carcinoma (MCC) typically presents as an isolated cutaneous lesion with a measurable risk of regional lymph node involvement. Uncommonly, synchronous or metachronous lesions have been described to be attributed to a field effect. This case report describes a patient presenting with metachronous lesions, separated by several years, which cannot be attributed to a field effect given the tumor distribution.
authors: The Schiffler Cancer Center, Wheeling Hospital, Wheeling, W. Va.
authors: Jondavid
authors: J
authors: Pollock
authors: Thomas
authors: T
authors: Caranosos
authors: E P
authors: EP
authors: Polack