Obstetrics & Gynecology>>>>>Benign and Malignant Disorders of the Breast and Pelvis
Question 10#

A woman is found to have a unilateral invasive vulvar carcinoma that is 3 cm in diameter but not associated with evidence of lymph node spread.

If this woman had multiple medical comorbidities, what would be the best option for management?

A. Chemotherapy
B. Radiation therapy
C. She should still undergo the same surgery that would be recommended for a healthy patient
D. Simple vulvectomy
E. She should not receive any treatment, and should be referred to hospice

Correct Answer is B

Comment:

Patients with multiple comorbidities who are not considered surgical candidates should be treated with radiation therapy. In some institutions, chemoradiation is preferred, but there is not good data to recommend that routinely.