What doses would you treat the primary and lymph nodes in node positive vulvar cancer patient with incidentally found focal SCC in a field of VIN3?  

Surgeon is not planning vulvectomy, since biopsies showed 2 mm depth of invasion.

Also tumor board felt dose to the primary site should be only about 50-54 Gy with concurrent chemotherapy.



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at St Vincent Radiation Oncology
The primary disease was never macroscopic, but mul...
Radiation Oncologist at UPMC Hillman Cancer Center
similar dose to involved primary with close margin...
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Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at St Vincent Radiation Oncology
Thank you. These were punch biopsies only. Yes, so...
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