How would you treat a high risk Merkel cell carcinoma of the lower leg after R1 re-resection who failed sentinel mapping?
Would you treat the primary site only, include popliteal nodes, or include popliteal and inguinal nodes?
Answer from: Radiation Oncologist at Academic Institution
This situation is very unusual. I can't recall ever seeing a patient have a failed sentinel lymph node biopsy procedure AND a positive margin after attempted re-excision of a Merkel cell carcinoma of the leg before. This leads me to wonder whether the patient should consult another surgical oncologi...