What is your recommended radiation field for early stage vulvar cancer with persistent positive margins (T1a-T1b)?
When should pelvic/inguinal lymph nodes be included?
Answer from: Radiation Oncologist at Academic Institution
I agree that if the inguinal region has been adequately addressed with negative sentinel node biopsies or with an adequate inguinal node dissection that includes the femoral and superficial inguinal nodes, we would treat only the primary site. However, in these cases, we make an active attempt...
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Answer from: Radiation Oncologist at Community Practice
If nodal status has been adequately addressed by sentinel node or nodal dissection then would treat primary only.
otherwise would treat vulva and bilateral inguinal nodal region with dose close to 60 Gy for positive margin.
https://www.ncbi.nlm.nih.gov/pubmed/27843030