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What is the appropriate dose for a patient with recurrent vulva VIN III?

The patient failed previous excisions and medical therapy and is no longer a surgical candidate.
1 Answer
Mednet Member
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I have never treated VIN III by itself without any evidence of invasion, although I have had patients with diffuse VIN with invasion who responded well to RT with regression of both invasive disease and VIN changes. Dose is hard to answer but all these pts get at least 50Gy for invasive disease.

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