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For Merkel cell carcinoma of the lower extremity with early isolated recurrence in the ipsilateral inguinal nodes, would you include pelvic lymph nodes in the post-operative field following inguinal lymph node dissection?

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Radiation Oncology · UTMB
Answered on

We have traditionally offered post op RT for all node positive MCC.
We typically include the lower pelvic nodes (Ext Iliacs) and exclude bowel after 46 Gy by field reduction.

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