How would you approach a vulvar cancer with para-aortic and pelvic nodes?

Would you still take the primary to 60-70Gy?

Answer from: Radiation Oncologist at Community Practice

I have treated a few patients with curative intent if ECOG 0-1. Especially if HPV positive. Below is the link to outcome for anal cancer with pa node involvement.Holliday et al., PMID 29907489

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How would you approach a vulvar cancer with para-aortic and pelvic nodes?

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