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Gynecologic Cancers • NCI-CCC Tumor Board Question • University of Utah • NCI-CCC Gynecologic Tumor Board Question
How do positive pelvic washings influence your decision to administer adjuvant therapy to early stage endometrial cancer who otherwise meets no criteria for adjuvant therapy?
58 yo, grade 1 endometrioid endometrial cancer. TLH, BSO, sentinel nodes. Stage IA, focal LVSI, 20% myometrial invasion, negative sentinel nodes, positive pelvic washings.
Answer from: at Academic Institution
<60y/o, grade 1 endometrioid endometrial cancer. TLH, BSO, sentinel nodes. Stage IA, focal LVSI, 20% myometrial invasion, negative sentinel nodes, positive pelvic washings.
Positive pelvic washings are an adverse prognostic sign in patients with other high-risk features. This patie...
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Answer from: at Community Practice
Long-debated issue. Patients with positive washings and other high-risk factors do have a worse prognosis. Patients with no other risk factors, as presented here, may have no clear-cut diminution of survival, but I would tend to treat, given our inability to “salvage” as in “save&r...
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In this particular case, 1A gr1, no other risk fac...