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How is early endometrial cancer managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

What is the treatment plan for 48-year-old women with grade 1 endometrial adenocarcinoma and right ovary with endometroid carcinoma well differentiated 4.5 cm?
Answered by Dr. Kumar Varadarajan Senthil

Hello,

Welcome to icliniq.com.

Please also provide me with the following details to provide a treatment plan.

  • Depth of myometrial invasion.
  • Lymphovascular invasion- is present or not?
  • Status of the lymph node.
  • Peritoneal or omental sampling is done or not?
  • Pre-operative MRI findings

I hope this information will help you.

Thanks.

Patient's Query

Thank you doctor,

1. Focal myometrial invasion present on the inner half (no deep invasion).

2. Lympho-vascular invasion is not present.

3. MRI showed only uterus cancer not spot in the ovary.

Answered by Dr. Kumar Varadarajan Senthil

Hello,

Welcome back to icliniq.com.

  • Were any lymph nodes removed at the time of the operation? And if so, their status.
  • If any omental biopsy or sampling was done at the time of surgery? If yes, the results, please.

Patient's Query

Thank you doctor,

The surgical pathology report says,

  • Endometrial adenocarcinoma, endometrioid, FIGO grade1 focal myometrial invasion present (inner half), invasion of deep myometrial not identified T1a. Lymph- vascular invasion not identified. Uterine cervix with no evidence of malignancy or dysplasia. Background endometrium with atypical hyperplasia. The definite extrauterine extension is not identified. Small intramural leiomyoma and focal adenomyosis present TNM T1A, NX.
  • The right ovary with endometrial carcinoma is well-differentiated, measuring 4.5 cm in the most significant linear dimension. Involvement of the other surface is not identified. Lymphovascular invasion not identified. Benign, unremarkable left ovary. Benign, unremarkable fallopian tubes. No testing of lymph nodes.
Answered by Dr. Kumar Varadarajan Senthil

Hello,

Welcome back to icliniq.com.

Based on the histopathology report, no further oncological treatment is needed. But need a routine follow-up for every four to six months. I would suggest annual imaging with contrast CT scan of chest or abdomen or pelvis with biannual blood works such as complete blood count, creatinine, and Ca125.
Medically reviewed byDr. Nithila. A
Published At August 14, 2019
Reviewed AtFebruary 19, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kumar Varadarajan Senthil
Dr. Kumar Varadarajan Senthil

Radiation Oncology

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