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
Answer from: Radiation Oncologist at Community Practice
Yes, would avoid RT if re-excision is done to get a wider margin.
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