Right technique and sufficient dose equal effective radiation to the groins in vulvar cancer

The management of vulvar cancer has significantly evolved from radical en bloc vulvectomy and bilateral inguinal lymphadenectomy to a more nuanced approach. Current management, for example, can involve radical local excision and sentinel lymph node biopsy. These advances have significantly reduced the morbidity associated with the surgical management of this disease. However, there remain unanswered questions regarding the treatment of vulvar cancer, including the ideal management of gross groin lymphadenopathy. Surgery remains the standard of care, but a risk of chronic lymphedema and poor wound healing are potential complications. These can have long term impacts on quality of life and so efforts are warranted to explore ways to minimize these risks.