Is there a role for radiation in the treatment of bulky axillary adenopathy in patients with newly diagnosed oligometastatic melanoma?

This is an interesting and multifaceted question.

The patient has oligometastatic disease, suggesting that other sites are involved but less than 4 or so more. Surgery for cure should be considered. Rates of recurrence increase rapidly with number of metastatic sites. If surgery is to be done, comple...