How would you treat a late local recurrence of extramammary Paget's disease of the vulva, not amenable to resection?

The patient has undergone a vulvectomy years ago. The disease now involves the vulva, perineum, and peri-anal regions.

Answer from: Radiation Oncologist at Academic Institution

If the patient does not have any invasive disease, or underlying malignancy or nodes, then I would consider treating this with radiation, specifically superficial brachytherapy. At our institution, we routinely treat similar patients with large perineal, inguinal EMPD patients with 3D custom printe...

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at ProMedica Toledo Hospital
Depending on the response to mold therapy, can alw...

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How would you treat a late local recurrence of extramammary Paget's disease of the vulva, not amenable to resection?

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