A 34-yeor-old woman was examined at another hospital with a 3 X 4 cm tumor in the right thigh. The tumor was attached to the skin and had developed in the scar of o cut that she suffered 22 years earlier. Physical examination revealed no other abnormalities. Excision with a narrow margin was performed. Pathological evaluation revealed a neuroendocrine tumor of the skin (Merkel's cell carcinoma) that involved the excision margin. A computed tomography scan of the chest was normal. She was then referred for further treatment. Sentinel node biopsy was planned in addition to wide local re-excision and radiotherapy.
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