Treatment of Endometrial Carcinoma Stage II

Han,  I; Kanellitasa,  C; Kumar,  N; Amendola,  B; Marley,  G

J Korean Soc Ther Radiol > Volume 2(2); 1984 > Article

Original Article

Journal of the Korean Society for Therapeutic Radiology 1984;2(2): 253-260.

Treatment of Endometrial Carcinoma Stage II

I Han, C Kanellitasa, N Kumar, B Amendola, G Marley

¹Department of Radiation Therapy, University of Michigan Hospitals, USA.
²Department of Pathology, University of Michigan Hospitals, USA.
³Department of Obstetric Gynecology, University of Michigan Hospitals, USA.

ABSTRACT

Between January 1971 and December 1980 fifteen patients diagnosed of Aden carcinoma of the endometrium, stage II seen and treated at the University of Michigan Hospitals, are reviewed. Ten patients were treated with radiation therapy alone, five received hysterectomy after radiation. The five-ear survival of the patients receiving radiation and surgery was 100% although one of them died after 62 month after two died at 7 and 24 months after therapy. All of the patients died of distant metastasis. Radiation cystitis was observed among surgically treated patients. While proctitis was observed in 3 cases receiving radiation alone. Though the number of cases reported is small due to rarity of the disease, it appears that radiation alone could provide reasonable tumor control. Also it appears that preoperative irradiation might lead to a longer survival. One patient who survived 62 months had para-ortic node involvement.