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Radiation Oncology • Genitourinary Cancers
When do you include the primary site in the radiation field for a penile cancer with negative margins?
Assume this patient had resection with N2/N3 disease. Would you recommendations change if this was N1? Any other factors that weigh in on primary site treatment?
Answer from: Radiation Oncologist at Academic Institution
Assuming he has had partial or total penectomy with negative margins, I don't treat the primary irrespective of nodal status. Control of the local disease is rarely a problem. From a radiation perspective, the battle is won or lost in the groin where an aggressive management approach is warranted fo...
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