How do you approach treatment for a patient with an isolated perineal/pubic recurrence of penile SCC s/p definitive surgery?

This would be a case where multidisciplinary input would be very valuable including input from surgery, medical oncology, and radiology. An MRI may also be helpful to help better define the local extent of disease for the multidisciplinary evaluation, and I would try to get a PET/CT to aid in the as...