Would you offer post operative radiation for a patient who had findings of lymphovascular invasion on salvage resection of a recurrent obturator node after definitive chemoradiation for cervical cancer?

If no gross disease and has had previous RT, I would favor no additional RT.

Depending on patient motivation and any other relevant clinical factors, I would consider chemoIO, especially if not treated with IO during chemoRT, as relapsed/persistent patients were included in KEYNOTE-826.