Mednet Logo

How do you manage early stage uterine carcinosarcoma?

Do you give cuff and chemo or pelvic CRT or chemo alone?
3 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Unfortunately, no good prospective study has shown an impact on survival with any adjuvant treatment. Based on relapse patterns at our institution for surgically staged IA disease, it is chemotherapy (ifosfamide plus taxol) plus cuff brachy. For all other stages, it is usually chemo as above followe...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · UAB Department of Radiation Oncology
Answered on

Uterine carcinosarcomas are rare and considered high-risk variants of endometrial cancer which has a high chance of distant metastasis.

There is no randomized trial of adjuvant treatment in stage I and II of carcinosarcoma alone except GOG #150 (stage I-IV). GOG #20 with stage I and II uterine sarcom...

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
Answered on

Depends on what you mean by early stage.

If you mean IA, NCDB suggests that for unfavorable histology (and for carcinosarcoma histology), chemotherapy and BT may help significantly, while EBRT may not. Seen regardless of whether is an endometrial polyp or < 50% MMI. Standard caveats of NCDB analyses:...

Join for free or sign in to see the full answer