Merkel cell carcinoma(MCC) is a rare and aggressive neuroendocrine skin cancer that originates from merkel cell in the skin. The most frequent location of involvement is skin of head and neck. Recently, we have experienced a 86-year-old female patient diagnosed merkel cell carcinoma. She initially presented with 2-year history of a tumor on her left cheek.Physical examination revealed a 2.5-cm diameter, firm, painless mass on her left cheek. On incisional biopsy that was done in our dermatologic clinic, Merkel cell carcinoma was suspected. In the preoperative radiologic evaluation, regional and distant metastasis was unremarkable. The wide excision of tumor via facial skin incision was performed and the repeated immunohistochemical studies showed the same results of the initial biopsy. Subsequently, the patient underwent adjuvant radiation therapy. Therefore, we suggest a case of Merkel cell carcinoma with literature review.