Radiation Therapy Rather Than Surgery for Merkel Cell Carcinoma: The Advantages of Radiation Therapy.

Satellite lesions (stage IIIB) represent poorly contained disease, and surgery cannot ensure clearmargins. The patient (1) is immune-competent, and a complete response to radiation therapy (RT) is expected with<10% risk of local recurrence (2). Therefore, we recommend RT for the primary site and satellite lesions with a 3to 5-cm margin to 50 Gy in 25… (More)