Below is an instruction from Human. Write a response.
    ### Instruction:
    What is the outlook for Merkel Cell Carcinoma ?
    ### Response:
    Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:          - The stage of the cancer (the size of the tumor and whether it has spread to the lymph nodes or other parts of the body).
    