How long would a vulvar cancer s/p definitive chemoradiotherapy, how long should the lesion be followed for regression before initiating biopsy or salvage surgery?
Should these patients be managed similar to p16 positive anal squamous cell carcinoma, and allowed six months or more for complete regression before considering salvage treatment?
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How long do you follow a vulvar cancer after definitive chemoradiotherapy before considering biopsy or salvage surgery?
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2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
There is no prospective data but our practice is to perform once the acute reactions subside, usually 6-8 weeks after chemo RT.
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Radiation Oncology · University of Maryland
Answered on
Our general practice is to perform a PET/CT and/or MRI 10-12 weeks following completion of definitive therapy. If there is concern for residual disease at this time point based on imaging and clinical exam, we would consider biopsy.
From a clinical viewpoint, what is interesting is that for anal can...
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