How would you manage an inguinal-only recurrence of a previously treated low lying rectal cancer?

Assuming that this is a patient who is received previous radiation to the anal canal but not the inguinal area, the management options include a radical inguinal dissection with or without radiation, definitive chemoradiation, and preoperative radiation by a more limited nodal dissection. We know fr...

Given the relative rarity of rectal to isolated groin nodes, I thought I'd share my experience of 1 patient (not quite a series!) years ago who presented the same way with a 5 cm inguinal node , biopsy proven, difficult to separate from the adjacent tissues, just anterior to the lateral pubic arch, ...