In what situations do you consider radiation to the pelvic and inguinal lymph nodes without treatment of the primary in vulvar cancer?

Good data in vulvar carcinoma is rare as there are not very many patients and not very many studies. Having said that, there is some data available.

Among the literature is a 1994 Red Journal Article by Duesenberry et al. This is a study of 27 vulvar patients of which 13 patients had recurrences in the blocked vulvar region. As a result, many radiation oncologists typically cover the vulva even with good surgical excision. Other studies have also reported high rates of vulvar recurrences without ...