In what circumstances would you offer adjuvant radiation after resection of vulvar mucosal melanoma?

Topics: Radiation Oncology • Gynecologic Cancers

If so, what would your target volumes and doses be? How would you sequence with immunotherapy (eg nivolumab)?

Answer from: Radiation Oncologist at Community Practice

If immunotherapy is indicated, I would start that right away. I would treat for positive margins or melanoma in situ at the margins using 30/5-6 fx twice a week. Would treat the tumor bed with a 10-15mm margin. I wouldn't treat the groins. Would also recommend a thorough GYN exam in the OR i...

Comments

Radiation Oncologist at Fox Chase Cancer Center
Thank you, Dr. @Horne. Would you consider treating...

Radiation Oncologist at Allegheny Health Network
Given that we know nodal dissection for cutaneous ...

Radiation Oncologist at Fox Chase Cancer Center
Thank you!

Answer from: Radiation Oncologist at Community Practice

Only if positive margin after resection.

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