How would the presence of micro-metastatic disease in multiple sentinel pelvic lymph nodes change your recommendation for adjuvant therapy in a patient with otherwise stage I endometrioid adenocarcinoma?

Answer from: Radiation Oncologist at Community Practice

Currently, we treat like stage III disease with chemotherapy followed by adjuvant EBRT for decreasing LRR and control any residual nodal disease (could be 30% based on FIRES) left behind as had only SNLN done. The outcome appears to be better than macrometastases.If only ITC then no chemo for now bu...

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Radiation Oncologist at Delaware Valley Urology Cancer Treatment Center
To clarify, what does ITC stand for and would you ...

Radiation Oncologist at Munson Medical Center
Isolated tumor cells.

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For ITC, if only SNLN is done then based on the in...

at MSKCC, New York
And if ITCs in SLN (without additional LND) and no...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Yes, and not consistent, but sometimes do CT scan ...

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How would the presence of micro-metastatic disease in multiple sentinel pelvic lymph nodes change your recommendation for adjuvant therapy in a patient with otherwise stage I endometrioid adenocarcinoma?

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