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Despite the benign nature of this condition, some patients develop disease progression despite all locoregional options for care cheap cialis generic online Isolated vaginal recurrences or nodal recurrences such as an isolated para aortic node in a non irradiated field may be treated with radiation therapy with curative intent, while vaginal recurrences in a previously radiated field and solitary distant metastases, such a lung nodule, may occasionally be amenable to surgical resection with a possibility of cureDespite the benign nature of this condition, some patients develop disease progression despite all locoregional options for care cheap cialis generic online Isolated vaginal recurrences or nodal recurrences such as an isolated para aortic node in a non irradiated field may be treated with radiation therapy with curative intent, while vaginal recurrences in a previously radiated field and solitary distant metastases, such a lung nodule, may occasionally be amenable to surgical resection with a possibility of cure