508) A 72 year old female is referred to you with a biopsy diagnosis of Merkel Cell carcinoma located in the skin over the left temple area. The lesion is firm, raised and ulcerated, measuring 1. 5 cm. in diameter. What is the BEST treatment option for this particular patient?
A. Curettage and electrodessication
B. Wide local excision
C. Wide local excision and prophylactic lymphadenectomy
D. Chemotherapy
E. Radiation therapy
REFERENCES & ANSWER
Hendrix J. D., Slingluff C.L.: Cutaneous Malignancies: Diagnosis and Treatment, Chapter 42, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 503-504, 2002
Hendrix J. D., Slingluff C.L.: Cutaneous Malignancies: Diagnosis and Treatment, Chapter 52, Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 675-702, 2009
508) B Wide local excision
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