Journal of Cutaneous Oncology Journal of Cutaneous Oncology
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Current Issue

Journal of Cutaneous Oncology

Current Issue

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Articles

Perspectives on the Science

Perspectives on the Science
Local Recurrence After Excision of Merkel Cell Carcinoma: What Do We Actually Know, and What Should We Do Next?

This Perspectives on the Science article summarizes a multidisciplinary Society of Cutaneous Oncology Journal Club discussion of Kavanagh et al., Local Recurrence Following Complete Surgical Excision of Primary Merkel Cell Carcinoma. The discussion examines uncertainty in local recurrence risk after margin-negative excision, variation in postoperative radiation therapy practice, and future evidence-generation approaches that integrate curated multi-institutional data, causal inference, and probabilistic modeling to support decision-making under uncertainty.

Jul 16, 2026
David Michael Miller, MD, PhD, Kevin Scott Emerick, MD, Howard Lane Kaufman, MD, Aubriana M. McEvoy, MD, MS, Lisa Zaba, MD, PhD, Ajay Sharma, MD, Adewunmi Adelaja, MD, PhD, Ann W. Silk, MD, Nikhil I. Khushalani, MD, Isaac Brownell, MD, PhD, Daniel G. Coit, MD, Paul Nghiem, MD, PhD, Vernon K Sondak, MD
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