My oncologist said my lesion was too big and would leave me with having to have reconstructive surgery also. I am very small in my hips & thighs and not enough skin there for skin graphing. I chose radiation over surgery. Please let me know how you make out.

I think your message wasn't aimed at me. However, I chose not to have surgery - then with a different surgeon at another hospital had the decision confirmes as right for me. I'm not 78 - was 77 when diagnosed. I felt it was too drastic after a good life. HOWEVER, I was last spring diagnosed with metastatic breast cancer, back after almost 20 years. The new oncology surgeon, at my request, checked me. Said surgery wasn't necessary. It's neither aggressive nor invasive. (The previous hospital, nice as they were, had gone from it's a small surgery through a few stages to it would have been massive. CURIOUSLY - the harsh treatments I'm asking for the cancer have diminished symptoms for EMPD. I don't have a lot of burning and itching. The doc said there could be a connection between the anti-estrogen drugs which exhaust me, but ... also, these drugs dry me out.
At the previous hospital and at the pain-anagement clinic - before the cancer diagnosis - had me using medically prepared and prescribed cannabis ... and that seemed to help.
I hope you find a way through this with as little discomfor as possible and I pray peace for you with love from Canada

@chickflickcherry You are meeting with the radiation oncologist today which is December 11? It's good that you are exploring your options before surgery. I think this is correct (I read in another post) that you were diagnosed with vulvar cancer?