How would you approach the post-operative radiation treatment volumes for a Merkel cell carcinoma of the hand?
Would you treat the primary site alone, include the hand and arm lymphatics to the epitrochlear nodes (one continious treatment volume from hand to elbow), or treat these two sites (i.e. hand and epitrochlear nodes) as two distinct areas?
Answer from: Radiation Oncologist at Academic Institution
Get a PET-CT. Treat the primary site, axillary, and probably epitrochlear nodes electively.
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