How would you treat a patient with pT1bN0 G1 endometrioid carcinoma with significant MMI (~80%) and +LVSI?

EBRT vs VB? She technically meets PORTEC2, but also meets GOG99 and GOG249 (for pelvic RT) and PORTEC4. NCCN recommends for IB grade 1 vaginal brachytherapy is preferred and does not list EBRT.

Answer from: Radiation Oncologist at Community Practice

Brachy alone, unless substantial LVSI then would favor EBRT.

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Radiation Oncologist at Tampa Bay Radiation Oncology
If you can and get the pathologist to quantify the...

Answer from: Radiation Oncologist at Community Practice

We also approach it as Dr. @Sushil Beriwal mentioned.

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How would you treat a patient with pT1bN0 G1 endometrioid carcinoma with significant MMI (~80%) and +LVSI?

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