Would you recommend systemic therapy in a patient with a history of Stage III high grade serous endometrial cancer s/p resection of a solitary pulmonary metastasis after a long disease free interval?
2 Answers
Mednet Member
Gynecologic Oncology · Legacy Health System
Systemic therapy should be advised in this patient with recurrent serous endometrial cancer after surgical resection of oligometastatic disease and a long disease free interval. Before advising a specific therapy, pathologic review by an expert gynecologic pathologist for both histologic confirmatio...
Mednet Member
Gynecologic Oncology · Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
I agree that a solitary pulmonary recurrence is unusual after a long disease free interval. I too would ensure a gynecologic pathologist review to confirm the diagnosis and pay close attention to margin status. I also agree that careful evaluation for any other sites of disease needs to done, prefer...