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How would you define the role for radiation in the management of a primary vulvar leiomyosarcoma in close proximity to anus?

Would you consider preop RT vs attempt at surgical resection with postop RT?
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Favor surgery followed by RT unless not operable without compromising anal function.

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Radiation Oncology · Harold C Simmons Comprehensive Cancer Center/UT Southwestern
Answered on

in the absence of significant data -it is reasonable to offer postoperative RT after surgical resection unless surgery is impossible due to invasion of anus

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