RT Journal Article SR Electronic T1 Definitive chemoradiation or radiation therapy alone for the management of vulvar cancer JF International Journal of Gynecologic Cancer JO Int J Gynecol Cancer FD BMJ Publishing Group Ltd SP 332 OP 337 DO 10.1136/ijgc-2021-002530 VO 32 IS 3 A1 Parul Nafees Barry A1 Diane C Ling A1 Sushil Beriwal YR 2022 UL http://ijgc.bmj.com/content/32/3/332.abstract AB Vulvar cancer is rare, and unresectable disease provides a therapeutic conundrum. Although definitive surgery remains the mainstay for curative treatment of vulvar cancer, a minority of patients present with advanced disease for which surgical resection would be extraordinarily morbid. Pre-operative and definitive radiation with radiosensitizing systemic therapy allows such patients an opportunity for cure. In this review, we explore the origins of pre-operative radiation, current treatment standards for pre-operative and definitive chemoradiation, and future directions.