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For early stage vulvar cancer that is clinically/radiographically node negative with no surgical lymph node evaluation (e.g patient or surgeon refusal) would elective nodal irradiation be reasonable in the absence of risk factors warranting treatment to the primary site?

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Mednet Member

Radiation Oncology · Allegheny Health Network

It depends on the a priori risk of nodal involvement based on tumor size, depth of invasion, lvsi etc.

If the risk is high enough can consider vs close observation with ultrasound or pet/ct