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Small bowel metastases from a Merkel cell tumor.

Merkel cell tumour is a rare primary carcinoma of the skin. It occurs predominantly in the head, neck and extremities of elderly women, frequently presenting as a reddish nodule (Frigerio et al, 1983). Until recently 86 patients with this tumour have been described (Alexiou et al, 1984). We report a further case and to our knowledge this is the first time that a metastatic small bowel deposit has been documented.