How do you approach treatment of vulvar cancer with bulky lymph node metastasis?
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1 Answers
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network
PET CT.
Plan definitive chemo (weekly cisplatinum) with IMRT, with a dose of about equivalent dose of 66 Gy to GTVs.
Reassess after 6-8 weeks for excision or bx of any residual disease.