Integrating radiation into the management of vulvar cancer

Vulvar cancer is a challenge to treat given the rarity of this disease and the variety of clinical presentations. The traditional approach to treatment has been with primary surgery. Radiation, often with concurrent chemotherapy, is now becoming an integral part of disease management through attempts to minimize surgical morbidity and improve treatment outcomes. This article highlights the advances made in understanding the role radiation and chemotherapy have to play in the adjuvant and definitive management of vulvar cancer.