Merkel Cell Cancer

http://theghostofsnotboogie.blogspot.com/2009/12/skin-cancer-merkel-cell-carcinoma.html

Resection with 1-2 cm margins
- SLNB is bare minimum for all patients
- therapeutic LND in patients with positive SLN
- radiation to all primary tumor beds, radiation to LN basin ?depends on LN status
- chemotherapy not very effective and when to start is controversial