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Patients at highest risk of COVID\u201019 complications are older; are immunosuppressed; and have diabetes, cancer, or cardiopulmonary disease, with multiple comorbidities associated with worse outcomes. Physicians must weigh the patient's risk of COVID\u201019 complications in the event of exposure against the risk of worse oncologic outcomes from delaying cancer therapy. Herein, the authors have summarized current data regarding the risk of COVID\u201019 complications and mortality based on age and comorbidities and have reviewed the literature assessing how treatment delays affect oncologic outcomes. They also have provided multidisciplinary recommendations regarding the timing of local therapy for early\u2010stage skin cancers during this pandemic with input from experts at 11 different institutions. For patients with Merkel cell carcinoma, the authors recommend prioritizing treatment, but a short delay can be considered for patients with favorable T1 disease who are at higher risk of COVID\u201019 complications. For patients with melanoma, the authors recommend delaying the treatment of patients with T0 to T1 disease for 3\u00a0months if there is no macroscopic residual disease at the time of biopsy. Treatment of tumors \u2265T2 can be delayed for 3\u00a0months if the biopsy margins are negative. For patients with cutaneous squamous cell carcinoma, those with Brigham and Women's Hospital T1 to T2a disease can have their treatment delayed for 2 to 3\u00a0months unless there is rapid growth, symptomatic lesions, or the patient is immunocompromised. The treatment of tumors \u2265T2b should be prioritized, but a 1\u2010month to 2\u2010month delay is unlikely to worsen disease\u2010specific mortality. For patients with squamous cell carcinoma in situ and basal cell carcinoma, treatment can be deferred for 3\u00a0months unless the individual is highly symptomatic.<\/jats:p>","DOI":"10.1002\/cncr.32969","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T09:53:38Z","timestamp":1591005218000},"page":"3900-3906","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["Management of primary skin cancer during a pandemic: Multidisciplinary recommendations"],"prefix":"10.1002","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7482-1413","authenticated-orcid":false,"given":"Brian C.","family":"Baumann","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Washington University in St. Louis St. Louis Missouri USA"},{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania 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