How would you treat a small cell carcinoma with a 4 cm right Bartholin's gland primary and a single small right inguinal adenopathy?

It’s like limited-stage SCLC would be treated with cis plus etoposide and RT (60-66 Gy). Will favor no elective pelvic node RT if pure small cell carcinoma and no mixed component.

Although data is limited to guide this particular patient situation, I would agree that the first step should be systemic therapy - at least 4 cycles of cis/etop. Subsequently, concurrent chemoradiation or surgical resection should be considered. We often borrow data from SCLC and apply it to extrap...