How would you manage a patient with unstaged serous endometrial cancer confined to a polyp diagnosed after hysterectomy for postmenopausal bleeding/inability to sample the endometrium?
Patient's hysterectomy complicated by inability to tolerate Trendelenburg positioning, so no staging was done.
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Would inability to sample pelvic lymph nodes/omentum push you to recommend adjuvant chemotherapy for a patient with polyp-confined serous endometrial cancer?
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1 Answer
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Gynecologic Oncology · BayCare Medical Group
Answered on
I think in this case, cell-free DNA can help triage this. If negative, I think offering observation is reasonable, especially if truly only confined to a polyp.
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