Merkel Cell Carcinoma Stage 4
And within a stage an earlier letter means a lower stage. As a rule the lower the number the less the cancer has spread.

Department Of Surgery Merkel Cell Carcinoma
A higher number like stage IV means cancer has spread more.
Merkel cell carcinoma stage 4. The earliest stage Merkel cell cancers are called stage 0 or carcinoma in situ and then range from stages I 1 through IV 4.

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