Review Article

A Practical Update of Surgical Management of Merkel Cell Carcinoma of the Skin

Table 4

Staging workup should include the following.

(1) Complete examination of the skin (including scalp) and regional lymph nodes
(2) Computerized tomography (CT) of chest to rule out lung metastases or small-cell carcinoma arising in the lung and metastasizing to the skin
(3) Positron emission tomography (PET) with 18-fluorodeoxyglucose (18FDG), either alone or combined with computed tomography