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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Recurrence Rate Of Endometrial Adenocarcinoma After Radiation?

I am 64 years old. Late last February 2011 I started to have some light post menapausal bleeding. I made an appointment with my gyn about 6 weeks later. Turns out I had endometrial adenocarcinoma which was found during a hysterectomy in June 2011. No lymph nodes were taken, cancer was unexpected. Gyn/Onc did a CT scan after hysterectomy which came back all good, he noted 2 small lung nodules (1 was 2mm, 1 was 4mm) but said he wasnt concerned and was nearly positive that had nothing to do with the cancer. Since lymph nodes werent taken, he said he was 85% sure that it didnt invade the nodes but he ordered a PET scan as well in late July 2011 and all came back clear. The cancer was invasive endometrial adenocarcinoma, Stage 1b (new FIGO staging), Grade 2. It says that it was contained in uterus but was about 79% through muscle. There was "some" LVSI. My Gyn/Onc said that with no further treatment he would put my non-recurrence rate at 80% but with external and external radiation, he would put it about 90-95%. I had all the external radiation and internal radiation treatments in August/September 2011. The Gyn/Onc said that since it has been 6 months since my last scan (clear PET Scan in late July 2011, after my hysterectomy but before my radiation treatments began) he would have me do a CT (chest, abdomen, pelvis) this week and meet with him for my 6 month follow up next week. I havent had any symptons or anything since my radiation, and my PET was clear 6 months ago, yet I am nervous my CT will show a recurrence or some problem. Any thoughts?
Fri, 23 May 2014
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Oncologist 's  Response
Your oncologist rightly explained to you the benefit of external beam radiation therapy and brachytherapy (internal radiation). Surgery alone results in Disease Free Survival rate (DFS) at 5 years of 80% and addition of radiation therapy to surgery improves the DFS to about 95%.
You have received the standard treatment after your surgery and you do not have any symptoms at present, so it would be a surprise if the follow up CT scan shows a recurrence. So, stay positive. Wishing you all the best and a healthy life ahead.
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What Is Recurrence Rate Of Endometrial Adenocarcinoma After Radiation?

Your oncologist rightly explained to you the benefit of external beam radiation therapy and brachytherapy (internal radiation). Surgery alone results in Disease Free Survival rate (DFS) at 5 years of 80% and addition of radiation therapy to surgery improves the DFS to about 95%. You have received the standard treatment after your surgery and you do not have any symptoms at present, so it would be a surprise if the follow up CT scan shows a recurrence. So, stay positive. Wishing you all the best and a healthy life ahead.