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Is brachytherapy necessary to reduce recurrence for endormetrial caner
I was diagnosed Grade 1 Stage 1A endormetrial cancer almost 3 months ago, I consult 4 doctors ( 2 oncologists, 2 radiation oncologists) about if need to do brachytherapy, they seems not recommend, but up to me to do it or not, brachy can reduce to half for the recurrent, do you think from 7% to 3-4% reduce recurrent is worthy to try, any short and long side effect for brachytherapy to show with me, is possible to get 2nd cancer years later through brachytherapy? Thanks
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I am get brachy (5 sessions) starting friday next week.
i have endo cancer Grade 1 Stage 1B.
the way my doctor explained it to me is a uterus with 50% or less cancer cells doesn't need to have brachy but if you're over 50% it is recommended to have brachy treatments. i'm at 57%
maybe look at your pathology report for your percentage and make your decision based on that. if your within a few points of 50% you might want to have the brachy treatments. the upside to having them so early in your cancer treatment is it's just a few treatments need. my doctor told me some people need 25-35 brachy treatments because of their late stage cancer.
@klue, thank you so much, mine point on the pathologist report is 8%, Grade 1, Stage 1A with MSH6 germline loss ( lynch symdromes). I kind of worry if it is worthy to do brachytherapy comparing the benifit and the disadvantage. I decided at this point I do not do it, hope the best not to recur. Is there any other opinions, I saw a lot recurrence cases in this site with 1A though.
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1 ReactionI had serous papillary cancer 8 years ago. Stage 1a-slightly2 -two different opinions- had chemo carboplatin and taxol -6 treatments -then brachy-I think about 4 sessions. Definitely recommended to attack any residual rogue cells in the vaginal cuff. Had to do therapy after all that to keep me opened down there- and I must say 8 years later I am ok- I take a revaree insert twice a week. Not sexually active.
Is there side effect after the brachy radiation, 4 doctor did not recommended brachy, but up to me, I am worry the brachy can cause 2nd cancer or impact the bowel movement, one person did 6 brachy, she has small bowel issue which need to go to bath room quick and often. Dr indicates 7% reduces to 3.5% for my case. I am still debating if it is worthy to do 3 brachy radition due to it only reduce 3%. My surgery did 3 months ago, i have to make decision before 6 months for brachy radition.