Merkel Cell Carcinoma (MCC) is a rare aggressive tumor known to be metastatic to the lymph nodes with a poor prognosis. It is commonly characterized as a painless rapidly enlarging papule or nodule, which may be skin-colored, erythematous to violaceous. Being twice as uncommon as melanoma, it is seen among Caucasian elderly males. A case of a 65-year-old male, known hypertensive with chronic kidney disease, with a sudden enlargement of a painless nodule (2 x 2 x 1 cm) over the left temple is presented in this report. Initial histopathologic finding was lymphoma, however due to its rapid enlargement further work-up with imnunohistochemical stains done confirmed the diagnosis of MCC. The development of MCC in a Filipino is rare and its detection requires a high index of suspicion. Upon referral to plastic surgery and radiation oncology, wide local excision and adjuvant radiotherapy were advised respectively. A wide local excision with margin control and subsequent skin-grafting was done. Thirty-three sessions of radiotherapy was advised however patient refused the suggested adjuvant treatment. Absence of nodal involvement and metastasis were documented with CT scan of the head, neck and abdomen showing no signs of adenopathy