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- Standard Treatment Options include:
- • Radical vulvectomy, removal of the lymph nodes on both sides and removal of the vagina, bladder and/or
- rectum (pelvic exenteration).
- • Surgery followed by radiation therapy in those with close surgical margins.
- • Radiation therapy with combination chemotherapy (5-FU + mitomycin-C + cisplatin), occasionally followed
- by radical surgery .
-
- Five-Year Survival About 15 percent
-
- Investigational
- • External beam radiation therapy and interstitial radiation therapy with or without heat (hyperthermia) and with
- or without various doses and kinds of chemotherapeutic drugs are being evaluated.
-
- Stage IVb
- TNM Any T, any N, M1a or M1b.
- There are distant metastases including pelvic lymph nodes.
-