Figure 1

Photograph showing patient who had a red lesion of the upper eyelid, the most common localization of ocular Merkel cell carcinoma, but the large lesion was uncommon. (A) Bottom: (lateral view) The large violaceous mass that involves the entire left eyelid and facial surface multiple, ectensive large ulcer. The large tumor with multiple big dome-shaped nodules obscure boundary, plentiful blood vessels in the surface. (B) CT (computed tomography) scans show a large medium to high reflectivity mass. (C) CT showed that there were tumor metastases of mediastinal lymph node and multiple micrometastases (yellow arrow) of the lungs. (D) MCC with the mitotic index was high (black arrows) as stained by hemotoxylin & eosin.