How would you prescribe RT dose to post-op vulvar cancer with margins positive for severe dysplasia?  

Need to quantify: If this positive dysplasia is dVIN, then I would favor re-excision, as it is high risk factor for local relapse and I don’t know if RT alone would be effective.

I agree with @Sushil Beriwal's opinion.Radiation therapy may not be effective, but equally important it is not indicated, in my opinion, for this lesion. Even though there is a more established relationship between cervical intra-epithelial neoplasia and invasive cancer, according to van Setters et ...