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Gynecologic Cancers • Endometrial Cancer • NCI-CCC Tumor Board Question • University of Utah • NCI-CCC Gynecologic Tumor Board Question
How do positive pelvic washings influence your decision to administer adjuvant therapy to early stage endometrial cancer who otherwise meets no criteria for adjuvant therapy?
<60y/o, grade 1 endometrioid endometrial cancer. TLH, BSO, sentinel nodes. Stage IA, focal LVSI, 20% myometrial invasion, negative sentinel nodes, positive pelvic washings.
Answer from: at Academic Institution
<60y/o, grade 1 endometrioid endometrial cancer. TLH, BSO, sentinel nodes. Stage IA, focal LVSI, 20% myometrial invasion, negative sentinel nodes, positive pelvic washings.
Positive pelvic washings are an adverse prognostic sign in patients with other high-risk features. This patie...
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Answer from: at Community Practice
Long-debated issue. Patients with positive washings and other high-risk factors do have a worse prognosis. Patients with no other risk factors, as presented here, may have no clear-cut diminution of survival, but I would tend to treat, given our inability to “salvage” as in “save&r...
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In this particular case, 1A gr1, no other risk fac...