19th April 2022

A 68-year-old woman is diagnosed with FIGO Stage 4a vaginal cancer

A 68-year-old woman is diagnosed with FIGO Stage 4a vaginal cancer. Biopsy and PET scan confirm this diagnosis and show spread to the external iliac lymph nodes and colon. She is experiencing constipation with some vaginal bleeding. While she is constipated, with the help of laxatives she is able to pass stools. She has had some weight loss, but is still coping well.

What is the most appropriate management for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.