How would you manage a Stage IB endometrioid endometrial cancer, status post staging surgery, with a rapid vaginal recurrence <1 month post operatively?
This case involves an impressive ‘high volume’ vaginal recurrence and patient was not originally planned for adjuvant therapy. Concerned that pelvic RT alone may be insufficient.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Abramson Cancer Center, University of Pennsylvania
Answered on · Updated on
A rapid recurrence like this is unusual, but we have definitely seen it. Cuff recurrences require multidisciplinary management. The most worrisome feature of this patient is the rapidity of recurrence.
For the initial management, I would probably have recommended some kind of adjuvant treatment afte...
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Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
Staging workup including PET/CT. If it is the only site of recurrence, I would treat with concurrent weekly cisplatinum with EBRT to include entire common iliac nodes followed by brachytherapy.
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