The patient received adjuvant chemotherapy and had an unrevealing staging PET/CT.
Do you prefer surgery (i.e. exenteration) given the radioresistant histology or would you attempt to manage with EBRT and brachytherapy?
No sarcomatous overgrowth seen.
Would you consider adjuvant chemotherapy, radiation therapy, hormone therapy, or surveillance?
If so, would you treat the whole pelvis, cuff brachytherapy, or both?