Would you consider radiation alone or chemoradiation therapy for a small vulvar cancer near the urethra or clitoris?

Yes, I think radiation is worth considering in this situation. However, the morbidity of radiation is also significant with potential for edema and fibrosis in high dose volume. The consequence of that may arguably be worse than surgery. If we do treat with radiation, I would still add chemotherapy ...

Since this tumor is near the clitoris and urethra, a local resection and radiation therapy is not the best approach. To try to decrease morbidity when irradiating larger volumes, I would consider a boost to the primary lesion with brachytherapy, for a total dose of about 7000 cGy. I am not aware of ...

We would do concurrent chemo RT and treat primary and bilateral groins.