How would you approach a vulvar SCC with inguinal nodes 9 months after completion of surgery + adjuvant EBRT for cervical cancer?  

I would consider this as a second primary. We know both are related to HPV infection and the previous treatment for cervical cancer did not treat the vulva or the inguinal nodes. The vulvar skin and the inguinal nodes are not part of the field on EBRT for cervical cancer. I would approach the treatm...