Is adjuvant RT recommended for a Bartholin's gland SCC s/p piecemeal resection with deep invasion and negative ipsilateral LN dissection?  

I agree with Dr. @Sushil Beriwal that it is a function of margin status. However, with deep invasion and piecemeal resection, I think that margin status would be difficult to determine. A small lesion may be able to be reresected but many times, because of the location in the bartholins gland, the t...

It would be a function of margin status. If margin is unknown or positive, would favor re-excision over adjuvant RT. If margin is negative, would favor observation.