How would you manage a Stage IB endometrioid endometrial cancer, status post staging surgery, with a rapid vaginal recurrence <1 month post operatively?

This case involves an impressive ‘high volume’ vaginal recurrence and patient was not originally planned for adjuvant therapy. Concerned that pelvic RT alone may be insufficient.

Answer from: Radiation Oncologist at Academic Institution

A rapid recurrence like this is unusual, but we have definitely seen it. Cuff recurrences require multidisciplinary management. The most worrisome feature of this patient is the rapidity of recurrence. For the initial management, I would probably have recommended some kind of adjuvant treatment aft...

Answer from: Radiation Oncologist at Community Practice

Staging workup including PET/CT. If it is the only site of recurrence, I would treat with concurrent weekly cisplatinum with EBRT to include entire common iliac nodes followed by brachytherapy.

Comments

Radiation Oncologist at Mon Health
How would you decide when to use concurrent chemor...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
GOG randomized study for concurrent chemo for pelv...

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How would you manage a Stage IB endometrioid endometrial cancer, status post staging surgery, with a rapid vaginal recurrence <1 month post operatively?

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