Would you offer RT alone to an elderly woman with squamous cell carcinoma in-situ of the vulva, distal vagina, and periurethral area?
Treat as invasive disease with concurrent chemotherapy? Any non-radiation options for large in-situ disease? If RT, would you include at least inguinal nodes?
Answer from: Radiation Oncologist at Community Practice
I have had such a patient; multiply recurrent over a relatively large field such as this case. I gave her RT alone (45-50.4Gy) to central structures with large margin (no nodal treatment) and she was recurrence free for 5 years (last time I saw her).
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Answer from: Radiation Oncologist at Community Practice
I would rebiopsy if clinically looks like invasive cancer and manage accordingly.