Would you recommend radiation for micrometastasis on sentinel lymph node biopsy in otherwise low risk endometrial cancer?

This is a great question!

There really isn’t great data on what should be done with micrometastasis. At our tumor board, there is a clear consensus to treat macrometastasis on sentinel nodes. There is also a clear consensus that while we are capturing data to monitor our outcomes with isolated tumor...

Just want to add some helpful thoughts re: systemic therapy from our medical oncologist, Dr. Michael Bookman, regarding a similar patient I saw (T1aN1micM0, grade 1, pMMR, p53wt with no MMI, no LVSI, and micromets in 1/4 pelvic SLNs; high BMI):
With a BMI of 40, endogenous estrogen production likely ...