Would you consider adjuvant radiation in a patient with stage 1 (<1 cm) Merkel cell carcinoma of the lateral upper arm status post resection to negative wide margins?

Topics: Radiation Oncology • Melanoma/Skin Cancer

Sentinel lymph node assessment was negative and there are no other high risk features.

Answer from: Medical Oncologist at Academic Institution

For a stage I Merkel cell carcinoma < 2cm size, long-term outcomes are good and close surveillance may be reasonable, based on the results of meta-analysis. For those with tumors >2 cm or greater, adjuvant RT can help improve loco-regional control and survival. Additionally, ongoing trials of ...

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