How would you treat completed resected rectosigmoid recurrence of endometrial adenocarcinoma?  

This patient previously received hysterectomy with adjuvant vaginal cuff brachytherapy without pelvic RT. Colonoscopy demonstrated invasive disease, biopsy-proven to be recurrent endometrioid adenocarcinoma.

Salvage surgery done with negative margins and end-to-end anastomosis, but +LVSI and mesorectal tumor deposits on final path. No evidence of vaginal cuff or regional node recurrence, on staging workup, and no visible extrapelvic disease.



Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Mountain Radiation Oncology
Curious regarding stage and histology of the endom...
at ProMedica Toledo Hospital
This is relapsed disease, not restaged. Chemother...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Missed that, thanks. Agree with chemo as SOC with ...
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