My mom had hysterectomy for adenocarcinoma. Is radiation therapy compulsory?

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• It depends on the extent of disease within the myometrium and endocervical extent.

For further queries consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist

Hello,

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I have gone through your mother's reports (attachment removed to protect patient identity).

• Brachytherapy (vaginal vault) alone will be the adjuvant treatment based on the following factors:
1. Grade-1 tumor.
2. Less than 50 percent myometrial invasion.
3. The absence of lymphovascular invasion and complete surgical staging showing clear lymph nodes.
• This is the current ESMO (European society for medical oncology) treatment guideline for a tumor with these features.

For more information consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist

Hello,

Welcome back to icliniq.com.

• Your question is very valid. Yes, it was within the uterus and it had been removed. We are looking at reducing the risk of what people call as 'micro-metastasis' and it could happen in the vaginal stump (cut end of the operation at the back of the uterus).

• Equally, the operation may have removed everything and there may be no cancer cell left behind in which case it may be an overtreatment. But, we do not have a crystal ball to predict that.

• But, because of the age, I would mitigate the risk with vault brachytherapy.

For more information consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist