Radiation or not after surgery for endometrial cancer?

So they would still do brachytherapy 2 years after surgery? I'm surprised, they want to do brachytherapy 8 weeks after my surgery, 2 years seems like a long time, but what do I know, I'm not an oncologist

Given a choice? We always have a choice, no matter what treatment might be offered.........

I had hysterectomy and all lab tests, no specific tests before brachytherapy. Sentinel lymph nodes clear. If cancer cells escaped, then they can go anywhere as I understand, any organs, liver, lungs, brain, etc... brachytherapy is only in vagina, as I understand, future recurrence needs to be dealt with wherever it might occur.
I don't know if it would preclude external beam radiation, do you know?

@bocabird It is rare type of endometrial cancer- I too was diagnosed in May 2017! I thought I was reading about myself!! I am in South Florida area- had a second opinion at Moffatt and they upped me from 1a to 2 due to their board seeing some cervical involvement. They did not want the sandwich protocol therapy - I had exactly what you had. Got through it on my own. I believe my osteoporosis is from the chemo. Me too so far so good-the oncologist said I do not need to see him anymore -just my regular gyno. Do you still get checkups with the oncologist?

@1995victoria were u given the choice to do brachytherapy or not? What tests will they do before radiation (if any)?
What are the benefits as explained to you? I understand it prevents reoccurrence at vaginal cuff but no benefit if any cancer cells escaped in the lymphatic system.
Should a recurrence happen in the future, what is the impact on having brachytherapy already?
Trying to make a hard decision …

@bocabird I didn’t do chemo. My oncologist and the radiation oncologist recommended five weeks of pelvic radiation but didn’t push me. I didn’t feel strong enough to do that and chose brachytherapy instead. I felt confident that was the right decision for me at my age. I’ve been very fortunate!

My understanding is that the dilator is for stenosis and atrophy while the creams are for dryness and discomfort, particularly during intercourse.
The Revaree, at least, seems preferable to hormonal creams.
Thanks for sharing.

@naturegirl5 My oncolgist and gyno a few years ago advised using invexxy -an estradiol which I did not want to use.

@ffr I stopped the dilator after one year and had physical therapy. I use revaree plus now twice a week. I have no issues with internal exams -very easy for Dr. Had about 4 brachy-

@acktiv1 Did you do chemo as well? Also since you must be very dry down there from brachy I suggest revaree plus- sold online by Bonafide company- Congratulations for staying healthy.