What adjuvant treatment would you recommend for Stage III vulvar cancer s/p resection with a history of prior radiation treatment for vaginal cancer?
Vulvar cancer is well differentiated. Closest margin is 6mm. LVI is identified
T1b N2c
Vaginal cancer treated 20 yrs ago described as 5 cm in length, starting about 1 cm from introitus. Pelvic RT and Brachytherapy were delivered
Would you treat pelvis/groins/primary or possibly limit to groins and primary?
Answer from: Radiation Oncologist at Academic Institution
My answer depends on the specifics of the case. Would be important to review the fields and doses. Also depends on what the perineum looks like. Are telangiectasias present with thinned epithelium consistent with significant RT dose? If the previous vaginal lesion involved distal 2/3 of the vagina, ...
Sign in or Register to read more
Answer from: Radiation Oncologist at Community Practice
I would limit to primary and inguinal regions only.