Treatment of Endometrial Carcinoma Stage II

Between January 1971 and December 1980 fifteen patients diagnosed of adenocarcinoma 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 year survival of the patients receiving radiation and surgery was 100% although one of them died after 62 month after teratment. Of those receiving radiotherapy alone two died at 7 and 24 months after therapy. All of the patients died of distant metastasis. Radiation cysititis was observed among surgically treated patients. while proctitis was observed in 3 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-aortic node involvement.