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Merkel cell carcinoma, otherwise called neuroendocrine carcinoma of the skin, is a type of skin cancer usually seen on the face, head, and neck. It is skin or bluish-red colored nodule. It is commonly seen in older adults, and sun exposure and a weakened immune system seem to play a role. It tends to grow fast and spreads to other parts. It is a painless growth. The treatment involves surgery, radiation therapy, immunotherapy, and chemotherapy. During the surgery, the doctor removes the tumor along with the normal skin surrounding the tumor.