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What Does Merkel Cell Carcinoma Look Like?

Merkel cell carcinoma (MCC) develops when Merkel cells in the skin begin to grow out of control. Merkel cells are the cells in the epidermis, the top layer of skin. Merkel cells contribute to the sense of touch.

The typical appearance of MCC is described below. It can be hard to identify a lesion correctly on your own. MCC is so rare that even doctors have a hard time identifying it by sight.1 If you notice changes in your skin, discuss them with your primary care provider or dermatologist.

Where does Merkel cell carcinoma develop?

MCC tumors are commonly found on body parts with frequent sun exposure. The most common locations are the face, the shoulders, and upper arms.2 Interestingly, about 15% appear on the hip or legs, and 11% appear on the chest and back.2 Less common locations are the scalp, neck, ear, eye lid, and lip.

MCC is more likely to develop on the left side of the body than the right side. This happens because the left side of your body gets more sun exposure while driving than the right side.3

What does Merkel cell carcinoma look like?

Merkel Cell Carcinoma

A large red merkel cell carcinoma on a person's eyelid.

View the image gallery

MCC usually is a painless red or purplish dome-shaped lump.4 Sometimes, the lesion is pink, blue, or the color of normal skin. The tumor usually grows quickly. It may feel firm and look shiny. You may see blood vessels. It may open up and form a sore. MCC can also be a rough, hard patch on the skin.5

What other symptoms of Merkel cell carcinoma might I have?

MCC is aggressive.4 In one-third of patients, MCC has spread to the lymph nodes by the time it is diagnosed.6 Your lymph nodes may feel swollen, hard, or enlarged.

What else could this be?

MCC is rare and does not have distinctive features.1 Many times, your doctor does not suspect MCC. MCC is only identified by examining the skin biopsy.1

MCC may be confused for lesions with a similar appearance, such as:

  • Bug bite
  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Cyst
  • Sty
  • Wart
Written by: Sarah O'Brien | Last reviewed: May 2017.
  1. NCCN Clinical Practice Guidelines in Oncology. Merkel cell carcinoma. Version 1.2017. Published October 3, 2016.
  2. Albores-Saavedra J, Batich K, Chable-Montero F, Sagy N, Schwartz AM, Henson DE. Merkel cell carcinoma demographics, morphology, and survival based on 3870 cases: a population based study. J Cutan Pathol. 2010;37:20-27.
  3. Clinical photos. Accessed April 25, 2017 at:
  4. Miles BA, Goldenberg D; Education Committee of the American Head and Neck Society (AHNS). Merkel cell carcinoma: Do you know your guidelines? Head Neck. 2016;38:647-652.
  5. American Academy of Dermatology. Merkel cell carcinoma. Accessed April 25, 2017 at: - overview
  6. Schadendorf D, Lebbé C, Zur Hausen A, et al. Merkel cell carcinoma: Epidemiology, prognosis, therapy and unmet medical needs. Eur J Cancer. 2017;71:53-69.