What adjuvant therapy would you offer a fully resected isolated pelvic peritoneal recurrence of a uterine serous carcinoma?

Although the recurrence appears to be isolated, peritoneal recurrence of serous endometrial carcinoma suggests more than localized disease, thus systemic therapy is appropriate. Because the most common site of another recurrence is in the vicinity of the resected metastasis, stereotactic local radiation therapy is also appropriate with the goal of disease control while minimizing toxicity. In consultation with a radiation oncologist, the specific location and size of the resected metastasis shou...