Would you offer adjuvant radiation to the surgical bed for a Merkel cell carcinoma of the upper extremity with low-risk features as per the NCCN Guidelines?
*Negative margins, <1cm in size, no LVI, negative SLNB, not immunocompromised, no prior surgery (as well as a negative PET/CT scan).
Answer from: Radiation Oncologist at Academic Institution
I would only consider it in this situation if the tumor was not widely excised (ie, an excisional biopsy was done for diagnostic purposes) and there was no plan for further surgery. The reported low rates of local recurrence with surgery alone (without adjuvant surgical bed radiation) have been afte...
What if the sentinel node did not map but the prim...
Assuming the primary is close to the axilla (arbit...