A patient who underwent surgery for stage IA grade 3 Ca of tissue as marked by an arrow in the picture below was brought to you for postoperative adjuvant therapy.
What is the preferred mode of treatment in the above mentioned case?
A. External pelvic radiation.
B. External field radiation.
C. Vaginal brachytherapy.
The tissue shown in the picture above represents endometrium.
The postoperative adjuvant therapy for different stages of Ca endometrium is given below-
|Stage IA, G1, G2||Observation|
|Stage IA, G3||Vaginal brachytherapy|
Stage IB, G1, G2, G3 &
Stage II, Stage III A ,B, C1, G1, G2, G3
|External pelvic radiation + vaginal brachytherapy|
|Stage III ,C2, G1, G2, G3||Extended field radiation + Vaginal brachytherapy|
|Stage IV||Whole abdominal radiation + pelvic radiation + Vaginal brachytherapy|