Is there a role for SBRT with vaginal melanoma?

If a patient has limited surgical options and a well defined lesion, would SBRT be reasonable?

Answer from: Radiation Oncologist at Community Practice

With proximity of rectum, urethra, and vulva, we favor 3DCRT or IMRT to 45-50 Gy at 2.5 Gy per fraction with and without brachy based on response.

Comments

Radiation Oncologist at Harold C Simmons Comprehensive Cancer Center/UT Southwestern
Vaginal Melanoma often is treated first by surgery...