Can you omit the vulva from the radiation field in isolated LN recurrence several years after initial vulvectomy/nodal dissection without adjuvant RT?
The patient had an initial partial vulvectomy and nodal dissection 6 years prior to recurrence, with no adjuvant RT offered initially due to lack of clinical indication.
Answer from: Radiation Oncologist at Academic Institution
In my opinion, yes, assuming the patient has had a recent well-done pelvic examination with close inspection of the vulva and vagina. A more difficult question, I think, is whether to treat the ipsilateral pelvic LN's. In general I would favor treating ipsilateral pelvic LN's to microsco...
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Answer from: Radiation Oncologist at Community Practice
Salvage rate for nodal relapse is low. I would favor concurrent chemo RT targeting at least groin and pelvis and may consider contralateral groin based on initial location of disease and extent of dissection
Comments
Radiation Oncologist at UAB Department of Radiation Oncology
Recurrence within an inguinal node has much worse ...
Recurrence within an inguinal node has much worse ...