Would you irradiate elective lymph nodes for a T1 Merkel cell carcinoma of the head and neck with a negative sentinel lymph node?

Would a history of immunosuppression impact your decision?

Answer from: Radiation Oncologist at Community Practice

In general, I would not irradiate due to the negative sentinel lymph node biopsy (SLNBx). Either one trusts the prognostication of a SNLBx and obtains one, or not. If one does not trust the process of SLNBx, then you should not obtain one and electively treat. I do not see the utility in obtaining a...

Comments

Radiation Oncologist at University of Florida
Yes. I can think of one patient where I didn&rsquo...

Radiation Oncologist at South San Francisco Medical Center
What if the point of SLNBx is to find patients wit...

Radiation Oncologist at SSM Cancer Center/St Louis CyberKnife
If the lesion was intraepidermal only (pTis), and ...

at Harvard Medical School
Definitely not, if pTis. Very low risk tumor. Obse...

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Would you irradiate elective lymph nodes for a T1 Merkel cell carcinoma of the head and neck with a negative sentinel lymph node?

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