How do you decide whether to treat proximal vs. entire vaginal cuff with intracavitary brachytherapy in early-stage endometrial adenocarcinoma?
What clinicopathologic features do you typically consider?
Answer from: Radiation Oncologist at Community Practice
For early stage endometrial cancer, we almost never treat the entire vagina, as the percent of recurrences in the distal vagina is very low and vaginal morbidity increases significantly with treatment of entire vagina. For patients who are at increased risk of distal vaginal recurrence (extensi...
I completely agree - I have never treated the enti...
@William Small, is the 3 cm referring to the dista...
Great question! I define this as the length of vag...