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How would you manage this patient?

A. Bilat groin node dissection, no RT

B. Rt groin node dissection, no RT

C. Bilat groin node dissection + RT

D. Rt groin node dissection + RT

E. RT alone to bilat groins

F. RT alone to rt groin

Age 74

2 cm extra-mammary adenoCa

ER +ve

3 right SN, LVSI +ve

A.

B.

C.

D.

E.

F.

17% 17%

17%

17%

17%

17%