Your clinic patient is diagnosed with vulvar carcinoma and the physician recommends a wide exicision as treatment for the cancer
The patient asks you why the physician has recommended this particular procedure. What would be your best response?
A) "There really isn't any good treatment for vulvar cancer, so we go with the best we have got."
B) "This is the only option for treatment of your type of cancer."
C) "The tests show that your lymph nodes are normal so a more radical procedure is not necessary."
D) "The tests show that you have involvement of the lymph nodes so this is considered a life-saving procedure."
Ans: C
Feedback: A wide excision is performed only if lymph nodes are normal. Options A, B, and D are incorrect because they give false information to the patient.
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