Staging evaluation and initial management of clinically evident lymph nodes in locoregional Merkel cell carcinoma

The staging evaluation and initial management of clinically evident lymph nodes in locoregional MCC is presented here. Clinically evident lymph nodes are regional lymph nodes detected on physical exam or imaging that are suspected to have disease involvement. All patients should undergo staging evaluation of the lymph nodes prior to or in conjunction with definitive treatment of the primary tumor. After completion of all therapy, all patients should be offered routine posttreatment surveillance. Refer to UpToDate content on staging, treatment, and surveillance of locoregional MCC.