Didactics-Radiation Therapy in Vulva Cancer_Ming Yin Lin

Video Transcription

Video Summary

The video discusses the role of radiation therapy in the management of vulvar cancer. The speaker highlights that vulvar cancer is relatively uncommon and often presents in elderly patients in an advanced stage. The management of vulvar cancer is guided by large retrospective studies or phase two studies rather than large randomized control studies. The speaker discusses the factors that influence management, including disease extent, size of the primary tumor, depth of invasion, margins, and nodal status. For early-stage vulvar cancer, surgery is the mainstay of treatment. Adjuvant radiotherapy is indicated for lymph nodes involvement or positive margins. The speaker mentions a landmark study that showed the addition of adjuvant radiotherapy improved local control and survival. The video also discusses the use of radiation therapy in unresectable vulvar cancer, either as definitive treatment or as a neoadjuvant therapy prior to surgery. The speaker presents data from studies supporting the use of radiation therapy in these cases. The speaker also addresses the role of imaging, the tolerability of radiation therapy, and outcomes from their experience in treating vulvar cancer patients. The video provides valuable information on the management of vulvar cancer using radiation therapy.

Keywords

radiation therapy

vulvar cancer

management

surgery

adjuvant radiotherapy

unresectable vulvar cancer