Endometrial Cases

Question 1

Age 60, papillary serous, grade III, LVI-,

Answer 1

LOW RISK (only 1/3 risk factors and age 50-70y): serous is bad pathology–> surgery alone, add chemo (because of serous)

Question 2

Age 75, Clear cell, grade III,

Answer 2

INT/HIGH RISK (1/3 risk factors and >70y): add vaginal brachytx. add chemo (because of clear cell)

Question 3

Age 40, Endometrioid, grade III, LVI+,

Answer 3

LOW RISK (only 2/3 risk factors and age: only surgery

Question 4

Age 55, Endometriod, grade I, myo>50%, LVI-, LN-

Answer 4

LOW RISK (only 1/3 factors and age 50-70)–> surgery only

Question 5

Age 65, Endometriod, >50% myo, LVI-, grade III, LN-

Answer 5

INT/HIGH RISK (2/3 risk factors and age 50-70)–> surgery + brachytherapy (+/- chemo)

Question 6

Endometriod, de novo lung met

Answer 6

Stage IV: palliative chemo (cis, taxol, dox, carbo/taxol, cis/taxol/dox)

Question 7

age 75, endometrioid, thru serosa LVI-, grade I, LN-

Answer 7

Stage III (invades serosa): surgery + adjuvant chemotherapy (+/- brachy)

Question 8

ENDOMETRIAL CASE 8: Age 55, Endometriod, myo

Answer 8

STAGE III (LN+): surgery + chemotherapy (+/- brachy)