What's your approach to adjuvant therapy for neuroendocrine (small cell) cancer of the parotid gland?   

While it is rarely possible for a primary NE cancer to arise in the parotid, the vast majority of these are actually Merkel cell carcinomas (MCC) secondary to a skin primary in the draining zone of the parotid (or pre auricular nodes) in the face/scalp. Even if a primary were to be never detected, w...

What to do when the markers show its clearly not a Merkel? Only case reports for true partoid neuroendocrine disease. And what if the patient is inoperable?  Chemoradiotherapy and extrapolation (Rx RT dose) from Merkel literature seems reasonable. A very rare entity which one might come across...