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What is the best treatment for a medically inoperable endometrial adenocarcinoma of the uterus FIGO 1, grade 1, type 1?

Brachytherapy, EBRT or both and what is the best dose?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I would get a pelvic MRI to assess tumor size and myometrial involvement.

If small volume (2 cm or smaller) with superficial invasion then use brachy alone, otherwise EBRT plus brachy.

The type of brachy is based on uterine width:

If the width is less than 5 cm: single tandem and cylinder. Otherwise Y applicator.

Dose for brachy alone for me:

7-7.5 Gyx5 fractions using 3D imaging with CTV being uterus, cervix, and 1-2 cm vagina, ensuring the GTV in central part gets a high dose.

For EBRT plus br...

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