Abstract
Abstract Introduction MCC is a rare cutaneous neuroendocrine tumour with a high risk of regional and distant metastasis. Management of this highly aggressive tumour is complex and mandates a multidisciplinary approach for optimal outcomes. Method Over 12 months, three cases of MCC in the cervicofacial region were identified and described. A critical review of the literature is included. Result Tumour staging confirmed 2/3 cases had regional spread. One patient underwent unilateral parotidectomy with modified radical neck dissection and adjuvant radiotherapy. The other case is awaiting radiotherapy following a selective neck dissection. The final case had no further surgery and is currently under surveillance. Conclusion This case series illustrates the diversity in managing cervicofacial MCC's at various stages of their development. Take-home message Merkel cell carcinoma must be managed aggressively with a multidisciplinary approach, regardless of how localised it may appear.
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