Radiation or not after surgery for endometrial cancer?

Posted by marceyw @marceyw, Feb 4, 2024

I was diagnosed with early stage endometrial cancer at Christmas. Had complete hysterectomy on 1/9/24. There was no cancer in the sentinel lymph nodes, ovaries or tubes. My doctor is suggesting brachytherapy to cut my 10% chance of recurrence to 5%. I’m concerned about the side effects. Has anyone been thru this and what are the possible side affects of this type of radiation? Dr said I don’t have the harmful P53 gene but do have a gene that would qualify me for immunotherapy if it were to come back. Really torn about what to do next. Would like to think I could fight the return with diet and lifestyle. Ideas and experiences appreciated.

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

For what it’s worth I had 25 external beam and 3 brachytherapy which follows what your md said

REPLY
Profile picture for tdfraze @tdfraze

I'm reading on here most had 3 brach. therapies, I only had 2 brach, 28 external radiations for/stage 3 endometrial cancer w/POLE mutation. I asked why I hear most have 3 brach treatments it seems and I only had 2. Doctor said was cause I did more external which is harder he stated. ...any thoughts

Jump to this post

I had two Brachy treatments. Mine were high dose AND I did not have EBRT or any other type of treatment. I think (and I'm not an expert) that most dosages are around 5-7 Gray (Gy) each; each of mine was more than double. Maybe you had high dose?

REPLY
Profile picture for RefluxGoAway @njp515

I had two Brachy treatments. Mine were high dose AND I did not have EBRT or any other type of treatment. I think (and I'm not an expert) that most dosages are around 5-7 Gray (Gy) each; each of mine was more than double. Maybe you had high dose?

Jump to this post

It was 2 High dose treatments. Sorry forgot there were high/low

REPLY
Profile picture for aardvark2118 @aardvark2118

For what it’s worth I had 25 external beam and 3 brachytherapy which follows what your md said

Jump to this post

Thank you for response,how long ago were you diagnosed and treated?

REPLY

Not to alarm anyone, but awhile back, in a thread, I was reading posts from few years ago, lady stage 1 is how it started. She was given hysterectomy only, not follow up therapy or treatments since doctor said low risk. I've read that A LOT w/stage 1 endometrial cancer it seems. Well, her follow up scan showed all clear, but she was having some ongoing issues of some type, so she pressed further with doctor. They did some kind of very specific MRI scan, found cancer in bone or breast, can't remember right now, but it had spread and reg scan they do at follow up screenings, as reg maintenance, didn't find it. Anyways, there were some posts in between, back and forth, but then she came back, said had spread to her brain in just less then year past that. She was very VERY Upset, that her original doctor has not advised treatment, since she was only stage 1. Did only hysterectomy, no follow up. People had been going back on her thread to check on her later, no response. I only tell this, because it was very upsetting, and I'm stage 3, pole mutated. So, it told me to be very vigilant and proactive in my own care. I was thinking before reading all that thread, "I wish I were only stage 1, needing hysterectomy only...,"as me and Dr talked about. That they sometimes don't do any other treatments if stage 1. Well, after reading that, I realized, at no matter what stage of cancer, definitely do your reseach, and be proactive, seek answers as you are, because "caught early" is very good, but not a guarantee its not to be taken seriously. Prayers for wisdom, complete healing for you.

REPLY
Profile picture for tdfraze @tdfraze

Thank you for response,how long ago were you diagnosed and treated?

Jump to this post

Hi. Had hysterectomy December 2022. Chemo and all radiation completed in august 2023

REPLY
Profile picture for tdfraze @tdfraze

I'm reading on here most had 3 brach. therapies, I only had 2 brach, 28 external radiations for/stage 3 endometrial cancer w/POLE mutation. I asked why I hear most have 3 brach treatments it seems and I only had 2. Doctor said was cause I did more external which is harder he stated. ...any thoughts

Jump to this post

I also had only 2 Brachy treatments after my full round of external radiation. I never asked why not 3, but I remember being relieved about it.

REPLY
Profile picture for val64 @val64

I also had 3 treatments with brachytherapy and think that it is worth doing. It is somewhat uncomfortable and very undignified for 10-15 min each time. I had no immediate side effects. After a month or so you need to either start using a vaginal dilator or engage in sexual activity to avoid long term issues.

If there are stray cancer cells in your body, diet and lifestyle probably won't do much to prevent recurrence.

If your cancer was Grade 1 or 2, a recurrence would probably still be curable, but that's still really worth avoiding if possible.

Jump to this post

Happy to have found this forum. In Nov
2020 my diagnosis was stage 1 endometrial cancer; complete hysterectomy, lymph nodes clear. Five sessions of brachy. Told I have excellent prognosis. Forward 4 years to Dec 2024. Pain in lower right pelvic area. PCP ordered X-ray & was told I was constipated. I disagreed and pushed for days for a CT scan given my history. CT scan showed a large tumor. Recurrence of endometrial cancer. This time it traveled to my
Upper left lung 4 nodules. Metastatic stage 4. I’m half way through chemo have 3 more rounds. Fighting for my life. Advocate for yourself. If I did not push for the CT scan, I would be looking at end of life by December. At least now, I have a chance!

REPLY
Profile picture for karina60 @karina60

Happy to have found this forum. In Nov
2020 my diagnosis was stage 1 endometrial cancer; complete hysterectomy, lymph nodes clear. Five sessions of brachy. Told I have excellent prognosis. Forward 4 years to Dec 2024. Pain in lower right pelvic area. PCP ordered X-ray & was told I was constipated. I disagreed and pushed for days for a CT scan given my history. CT scan showed a large tumor. Recurrence of endometrial cancer. This time it traveled to my
Upper left lung 4 nodules. Metastatic stage 4. I’m half way through chemo have 3 more rounds. Fighting for my life. Advocate for yourself. If I did not push for the CT scan, I would be looking at end of life by December. At least now, I have a chance!

Jump to this post

@karina60 Thank you for sharing your journey. You wrote what many of us have shared again and again. Be that squeaky wheel. Advocate for yourself. You are the expert with your own body. If you feel something is not quite right with your own body then push for answers. Any one of us who has had a cancer diagnosis in the past knows that we are at risk for a recurrence or another cancer. Here is to the wish and hope that you are looking at many more years of life ahead due to your own advocacy.

Would you like to share the kind of chemotherapy you are receiving? How are you feeling?

REPLY
Profile picture for Helen, Volunteer Mentor @naturegirl5

@karina60 Thank you for sharing your journey. You wrote what many of us have shared again and again. Be that squeaky wheel. Advocate for yourself. You are the expert with your own body. If you feel something is not quite right with your own body then push for answers. Any one of us who has had a cancer diagnosis in the past knows that we are at risk for a recurrence or another cancer. Here is to the wish and hope that you are looking at many more years of life ahead due to your own advocacy.

Would you like to share the kind of chemotherapy you are receiving? How are you feeling?

Jump to this post

@naturegirl5 thank you for connecting with me! I copied my chemo/immunotherapy below. My cycle is every 21 days I’ve just completed 3 of 6 infusions. Next is Sept 8. I have my 1st CT scan on Sept 5 to check progress. I’m doing very well so far. My main side effect is pain that is present in the days after my infusion. The pain starts to go away about 6-8 days after infusion. I’ve had no tummy /bathroom issues. Grateful for that but the chemo pain is no joke. Neuropathy is also present. I’m staying positive but this weekend was tough. I didn’t hear from anyone all weekend. I felt so alone with my cancer but, people have lives to lead and I understand that. It was just strange for it to be quiet after many months of people constantly checking on me. I bet a lot of these feelings are familiar to the survivors on this forum : )

Regimen: BILH OP Dostarlimab-gxly / PACLitaxel / CARBOplatin

REPLY
Please sign in or register to post a reply.