T1N0 anal canal carcinoma

Dear friends, i have a 27 yo patient that has undergone hemorroidectomy. The final pathology showed a moderately differentiated invasive squamous carcinoma. Re biopsy of the scar showed no residual dz. pelvic CT with IV contrast showed no enlarged LNs. What should be done next ? 1- observation 2- adjuvant RT only ( to the Tumor bed with no Regional Rt to the LNs) 3- adjuvant CRT ( ACT II protocol) ( RT to TB and pelvico-inguinal nodes ) + ovarian relocation 4- adjuvant CRT ( Focal... T1N0 anal canal carcinoma
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