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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?

2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

Yes, would avoid RT if re-excision is done to get a wider margin.

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Mednet Member
Mednet Member
Gynecologic Oncology · Medical University of South Carolina

Data would suggest that as long as the surgical margins are free, the risk of recurrence is not dependent on the margin width.

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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? | Mednet