@hope52 I was diagnosed with endometroid adenocarcinoma, in 2019, was referred to Mayo Clinic and that's where I saw my gyn/oncologist and had the radical hysterectomy. I followed my gyn/oncologist's recommendation after surgery. She told me that with my Stage 1a no other treatment was indicated. If I did have a recurrence it would most likely occur at the vaginal cuff within one or two years. So, I returned to Mayo Clinic every six months for a physical exam including a full pelvic exam. In 2021 two years after my initial diagnosis and surgery a little tiny polyp was found on my vaginal cuff during the pelvic exam. The polyp was removed, sent to pathology, and it was a recurrence. A PET/MRI was ordered at that time and it showed nothing which was reassuring. Because of this recurrence I followed the recommendation for radiation therapy. I continue to return to Mayo Clinic on a regular schedule and because of the recurrence I have a CT and physical exam. I've been NED since 2021.

You could ask your oncologist what the standard practice is for clear cell carcinoma Stage 1a. If you continue to have doubts you might ask for another opinion. If the recommendation is to return for observation in the future will this include imaging (CT) along with a physical exam?