Within what timeframe should adjuvant radiotherapy start for Merkel cell carcinoma of the head and neck region?

I use a 4-6 week post-op timeframe for adjuvant RT for Merkel cell carcinoma. I always prefer closer to 4 weeks, whenever possible.

For Merkel cell carcinoma, you should start as soon as things are healed enough to allow for radiation to be done safely. I think the 4-6 week target mentioned by Dr. @Dr. First Last is reasonable. Delay in starting adjuvant RT has been associated with worse overall survival and locoregional recurre...