How would you approach the post-operative radiation treatment volumes for a Merkel cell carcinoma of the hand?  

Would you treat the primary site alone, include the hand and arm lymphatics to the epitrochlear nodes (one continious treatment volume from hand to elbow), or treat these two sites (i.e. hand and epitrochlear nodes) as two distinct areas?



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Swedish Covenant Hospital (Chicago IL)
Would you still electively treat nodes if PET is n...
Radiation Oncologist at University of Florida
I would treat the nodes if PET was negative becaus...
Radiation Oncologist at Mallory Radiotherapy, PLLC
Large Merkel cell carcinoma of the proximal finger...
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