This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: DNB 2018, Subject name: Gynaecology & Obstetrics
Vulval carcinoma treatment during early stage:- 
Select and explain. 
A. Radiotherapy, B. Chemotherapy, C. Surgery, D. Chemoradiation
C: Surgery
Answer: C: Surgery 
Explanation: Vulvar carcinoma squamous cell carcinoma is most common histologic type Modern treatment Early stage 1 radical local excision More Advanced (2) modified radical excision with SENTINEL NODE biopsy Advanced stage (3&4) radiation plus chemotherapy (chemo radiation) possibly followed by limited surgery