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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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bocabird | @bocabird | 3 days ago
In reply to @bocabird "@jar1591927 I had serous papillary- which is very serious as well. Stage 1a-2 had two different..." + (show)
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@jar1591927 I had serous papillary- which is very serious as well. Stage 1a-2 had two different opinions. Same protocol carboplatin and taxol then Brachytherapy. Diagnosed May 2017- so far so good.

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@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?

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1995victoria | @1995victoria | 3 days ago

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?

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1995victoria | @1995victoria | 3 days ago

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

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1995victoria | @1995victoria | 3 days ago

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

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