Table 2.
Overview of the Consensus Staging System for Merkel cell carcinoma
| Stage I: Local, tumor diameter ≤ 2cm | |
| Ia: | Nodes microscopically negative and not clinically detectable |
| Ib: | Nodes not clinically detectable (no pathologic eval of nodes done) |
| Stage II: Local, tumor diameter > 2cm | |
| IIa: | Nodes microscopically negative and not clinically detectable |
| IIb: | Nodes not clinically detectable (no pathologic eval of nodes done) |
| IIc: | Primary tumor invading bone/muscle/fascia/cartilage |
| Stage III: Regional Nodal Disease | |
| IIIa: | Micrometastasis |
| IIIb: | Macrometastasis (clinically detectable) |
| Stage IV: Distant Metastatic Disease | |