Would re-excision of close margins (1 mm) allow a patient to avoid post-op radiation for a patient with metachronous diagnosis of a FIGO Stage IB vulvar cancer who also had a prior contralateral vulvar cancer resected 15 years ago?

Surgical pathology found negative pelvic/inguinal nodes, but revealed also focal LVI/PNI

Answer from: Radiation Oncologist at Community Practice

Yes, would avoid RT if re-excision is done to get a wider margin.

Answer from: at Academic Institution

Data would suggest that as long as the surgical margins are free, the risk of recurrence is not dependent on the margin width.

Comments

at Baptist Medical Group
Dr. @Creasman, could you elaborate on the margin w...

Radiation Oncologist at Allegheny Health Network
This may be helpful in your decision-making proces...

at Baptist Medical Group
Thank you so much, Dr. Horne.