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We present the case of a 59-year-old man with a growing mass in his left axillary area. A biopsy and immunostainings
demonstrated neuroendocrine carcinoma, which is Merkel cell carcinoma (MCC). The disease is characterised by
neurosecretory granules in tumor cells. MCC is a rare entity. The disease is predominantly seen in the inguinal region
or the axilla and typically found incidentally. It presents clinically as multiple lymph nodes enlargement. Yet controversy
exists regarding treatment modality of MCC. We report the first case of MCC in (Left) Axilla where there were two
cases reported previously in (Right) Axilla.