How do you approach treatment for a patient with an isolated perineal/pubic recurrence of penile SCC s/p definitive surgery?
They underwent radical penectomy and bilateral superficial and deep inguinal LND two years prior. Would you irradiate the regional lymph nodes?
Radiation Oncologist
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...