Of the millions of people who develop skin cancer each year in the United States, only about 3,000 are diagnosed with Merkel cell carcinoma, a very rare type of skin cancer.

On March 9, 1992, nurse practitioner Pamela Paplham, DNP, AOCNP, FNP-BC, FAANP, FAAN, started working at what was then called Roswell Park Memorial Institute. Exactly 30 years later, she retired from what is now called Roswell Park Comprehensive Cancer Center.