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M D Radiotherapy MUHS Form

M D Radiotherapy MUHS Form

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lots of progress in terms of early management of merkel cell carcinoma as well with recent at least changes in the national comprehensive cancer network guidelines in the united states one important change that has been kind of shifting slowly over the past few years and i think has really moved into the absolute mainstream now is you really need a baseline pet ct scan for uh proper management of merkel cell carcinoma we like to do that before a sentinel lymph node biopsy as a critical early part of staging about one in six patients with merkel cell carcinoma will without any evidence of um you know satellite lesions or nodal spread one in six that's clinically will have an upstaging a significant upstaging of their disease status if they have a pet scan petscan does appear to be more sensitive significantly than ct at the baseline for surveillance we do ct scans but for baseline we strongly believe the data that it a pet is significantly more sensitive and if you've go

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