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.

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ffr | @ffr | 1 hour ago

I had both external beam pelvic radiation and brachytherapy. With the brachy, we are committed to using a dilator for the rest of our days to avoid atrophy and to enable internal exams. Pelvic radiation has many long term side effects that can pop up years afterwards, which I find more life-interruptive than dilator use.