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?

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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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?

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