Would re-excision of close margins (1 mm) allow a patient to avoid post-op radiation for a patient with metachronous diagnosis of a FIGO Stage IB vulvar cancer who also had a prior contralateral vulvar cancer resected 15 years ago?
Surgical pathology found negative pelvic/inguinal nodes, but revealed also focal LVI/PNI
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
Yes, would avoid RT if re-excision is done to get a wider margin.
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Gynecologic Oncology · Medical University of South Carolina
Answered on
Data would suggest that as long as the surgical margins are free, the risk of recurrence is not dependent on the margin width.
Join for free or sign in to see the full answer