A 68 postmenopausal woman visits her physician for evaluation after she was diagnosed with stage 1 vaginal squamous cell carcinoma last week. The abnormal cells are limited only to the lower part of vagina. Today she comes to discuss her treatment options with her physician. What is the most appropriate treatment at this stage and at this location? A- Lower vaginectomy with vaginal reconstruction B- Topical and systemic hormonal treatment C- Topical and systemic chemotherapy D- Topical radiation therapy http://medical-usmle.com/?p=992