For which patients with stage IA nonsurgically staged endometriod cancer would you add pelvic RT?

Topics: Radiation Oncology • Gynecologic Cancers • Endometrial Cancer

The gyn oncs at my institution sometimes will not perform lymphadenectomy if biopsy indicates low risk disease. Would LVSI as sole adverse risk factor lead you to add pelvic RT?

Answer from: Radiation Oncologist at Community Practice

At present, for most of these patients we would not add EBRT irrespective of nodal staging.The only subset where would consider EBRT is stage IA, grade 3 with LVSI, as they were underrepresented in PORTEC 2. In the ongoing PORTEC 3, they are treated like high risk with randomization between EBRT or ...

Comments

Radiation Oncologist at Maimonides Medical Center
Do you apply the same principles to patients with ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For surgically staged patients our philosophy is v...

Radiation Oncologist at Maimonides Medical Center
Agreed. Thanks!

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