second pelvic primary 2 months after the end of adjuvant chemo-radiation for SCC of the vulva

Dear colleagues, I need your opinion concerning my 60yo patient, no comorbidities. she received in June 2017 adjuvant chemo radiation to the pelvis and vulvar tumor bed for a SCC. she received between 45-54 Gy SIB. 2 months later she presented with an important pain to the left iliac fossa. pelvic MRI showed a left parametrial mass of 3cm. biopsy revealed SCC. the review of CBCTs done during radiation showed no mass at this level. so it is a rapidly growing synchronous tumour. the surgeon... second pelvic primary 2 months after the end of adjuvant chemo-radiation for SCC of the vulva
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