Would you offer pelvic radiation in a patient with Stage IIIC endometrial cancer who has Crohn's disease and a permanent ileostomy?

I would avoid as the risk is more than the benefit and would consider brachy only.

The short answer is "probably not." However, in many cases, such as this one, the answer is more complicated than a simple "yes" or "no." I would want to know more details about all the clinical and pathological risk factors. IIIC on what basis? 1 micro+ node in the true pelvis vs. multiple nodes or...