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In patient s/p definitive chemoRT for vulvar cancer with complete response, how do you manage a non-healing vulvar defect if biopsy is negative for residual disease?
Answer from: Radiation Oncologist at Academic Institution
In addition to the previous answers:
If an open wound, consider getting these patients into a wound clinic for wet-to-dry dressings as appropriate (based on the size of the defect). Optimize medically (DM management in addition to smoking cessation).
If the defect is large enough or in a loc...
Thank you. Have you seen any benefit with hyperbar...
I have tried a few times with mixed responses.
May try hyperbaric O2 therapy if vulvar necrosis.
Thank you so much.