How would you manage IB vulvar small cell neuroendocrine carcinoma after surgical treatment revealing a 5cm tumor with closest margin 2.3mm and negative sentinel lymph nodes?

After obtaining a PET scan, how might you incorporate vulvar chemoradiation? Would you also offer adjuvant cisplatin + etoposide? Would you include immunotherapy in any of the adjuvant treatment?

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How would you manage IB vulvar small cell neuroendocrine carcinoma after surgical treatment revealing a 5cm tumor with closest margin 2.3mm and negative sentinel lymph nodes?

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