HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is It Necessary To Have Radiation After Total Hysterectomy Due To Endometrial Adenocarcimoma?

Good morning. I had a total hysterectomy as a result of a endometrial adenocarcimoma, FIGO 2 with focal clear cell features, depth of invasion was <50%. All lymph nodes negative. The suggestion is to have three radiation treatments into my vagina. I wonder why it is necessary and I am considering not doing the radiation. What else could be suggested for follow up long term, if the risk of clear cell is microscopic?
Wed, 16 Apr 2014
Report Abuse
OBGYN,  's  Response
Hello and welcome to HCM,     
I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.

I can understand your concern. You do not want radio as you feel the tumor is not spread so why the radio.
Clear cell carcinoma is a very aggressive cancer and has a high potential of spread. The FIGO stage is not always 100% accurate. Sometimes it is not possible to sample all the nodes, or sections examined from nodes may not show tumor while other pieces that were not examined may have tumor. Even though these possibilities are not very common, but if clear cell is suspected, radiotherapy is advised considering the aggressive nature of this particular malignancy.

So you will be taking a small risk if radiotherapy is avoided. Some missed foci may get cleared by radio. So discuss this once again with your doctor and then choose.
Hope this was helpful.
Feel free to ask any further queries and I will be happy to help.
Thanks for using HCM.     
Have a good day.
Dr Nilajkumar Bagde          
Consultant Obstetrics and Gynecology
I find this answer helpful
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Endometrial cancer


Loading Online Doctors....
Is It Necessary To Have Radiation After Total Hysterectomy Due To Endometrial Adenocarcimoma?

Hello and welcome to HCM, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. I can understand your concern. You do not want radio as you feel the tumor is not spread so why the radio. Clear cell carcinoma is a very aggressive cancer and has a high potential of spread. The FIGO stage is not always 100% accurate. Sometimes it is not possible to sample all the nodes, or sections examined from nodes may not show tumor while other pieces that were not examined may have tumor. Even though these possibilities are not very common, but if clear cell is suspected, radiotherapy is advised considering the aggressive nature of this particular malignancy. So you will be taking a small risk if radiotherapy is avoided. Some missed foci may get cleared by radio. So discuss this once again with your doctor and then choose. Hope this was helpful. Feel free to ask any further queries and I will be happy to help. Thanks for using HCM. Have a good day. Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology