Merkel cell carcinoma of the lower lip is a rare clinical entity. It is gen
erally thought to be more aggressive than the more common skin cancers of t
he lips and oral cavity. The literature reveals that delayed diagnoses and
poor survival are common among patients with these malignancies. Recommende
d treatment is surgical excision with wide margins and treatment of cervica
l metastases with either surgery or radiotherapy or both. Unlike other mali
gnant neoplasms, the occurrence of Merkel cell carcinoma in a relatively ol
der population makes comorbid conditions a key factor in treatment planning
.