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What is your approach to the adjuvant treatment for stage IA grade 2 endometrioid adenocarcinoma without LVSI whose molecular classification is p53 abnormal (MMR intact, POLE wild type)?

How does your approach differ for patients under age 60, between 60-70, and over age 70?
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How would you approach the adjuvant treatment for stage IA grade 2 endometrioid adenocarcinoma without LVSI whose molecular classification is p53 abnormal (MMR intact, POLE wild type)?

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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

These attached guidelines recommend consideration of chemo if IA with myometrial invasion. From a radiation perspective, I do brachy alone with consideration of chemotherapy.

Concin et al., PMID 33397713

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