Mednet Logo

For a patient with locally current endometrial cancer whose disease had complete radiographic response to carboplatin, Taxol, and pembrolizumab, would you consider adding radiation therapy?

She had a resected FIGO grade 2 endometrioid adenocarcinoma and did not receive radiation then. Her recurrent disease was a bulky pelvic mass that melted away with treatment.
2 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Harold C Simmons Comprehensive Cancer Center/UT Southwestern
Answered on

Despite having a complete response to chemoimmunotherapy, I would tend toward adjuvant RT since this was a local recurrence.

We don't have long-term data with chemoimmunotherapy in this locally recurrent setting.

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I would add RT, as the goal is still curative and we have not replaced the value of local treatment with systemic alone. Plus, we don't have data on the long-term durability of this complete response.

Join for free or sign in to see the full answer