Gynaecological Oncology · NEET PG Preparation Obstetrics & Gynaecology
A 58-year-old postmenopausal woman is diagnosed with stage IA, grade 1 endometrioid adenocarcinoma of the endometrium following a total laparoscopic…
Practice question from Gynaecological Oncology (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.
hard · MCQ · Q-9EBB0C
A 58-year-old postmenopausal woman is diagnosed with stage IA, grade 1 endometrioid adenocarcinoma of the endometrium following a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy. Pelvic and para-aortic lymph node dissection was not performed. According to current guidelines, what is the most appropriate postoperative management regarding adjuvant therapy?
- A.External beam radiotherapy (EBRT)
- B.Vaginal brachytherapy (VBT)
- C.Combination chemotherapy with carboplatin and paclitaxel
- D.Observation onlyCorrect answer
Solution
For patients with stage IA, grade 1 or 2 endometrioid endometrial cancer, the risk of recurrence is extremely low. Current NCCN guidelines recommend observation alone without adjuvant radiation or chemotherapy, as adjuvant therapy does not improve overall survival and increases morbidity.
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