@lrcg My cancer is Paget’s of the vulva. It is HPV driven and invasive. I go to Karmanos Cancer Institute in Lansing, MI. I see Dr Jayson Field. He is a gynecologic oncologist. He is a professor of Obstetrics, Gynecology and Reproductive Biology at Michigan State University. He is also the director of the Division Gynecologic Oncology. If you Google him you will find more information.
I had a radical vulvectomy with sentinel lymph node removal. No radiation or chemotherapy. I am now cancer free. Because it is invasive it could turn up in another area but I don’t think about that often. I have checkups every 3 months.
I am 67 years old. Recovering from the surgery wasn’t a piece of cake, but I am glad I had it.