For Merkel cell carcinoma of the lower extremity with early isolated recurrence in the ipsilateral inguinal nodes, would you include pelvic lymph nodes in the post-operative field following inguinal lymph node dissection?

Answer from: Radiation Oncologist at Community Practice

We have traditionally offered post op RT for all node positive MCC.We typically include the lower pelvic nodes (Ext Iliacs) and exclude bowel after 46 Gy by field reduction.

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Medical Oncologist at Kettering Cancer Center
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For Merkel cell carcinoma of the lower extremity with early isolated recurrence in the ipsilateral inguinal nodes, would you include pelvic lymph nodes in the post-operative field following inguinal lymph node dissection?

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