PMID- 27168710 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160512 LR - 20200930 IS - 0971-5851 (Print) IS - 0975-2129 (Electronic) IS - 0971-5851 (Linking) VI - 37 IP - 2 DP - 2016 Apr-Jun TI - Adjuvant brachytherapy for Stage IB Grade 2 endometrial carcinoma: Multivariate analysis of a single institution experience. PG - 112-5 LID - 10.4103/0971-5851.180148 [doi] AB - OBJECTIVE: The aim was to investigate the value of postoperative brachytherapy for patients with Stage IB, Grade 2 endometrial carcinoma. PATIENTS AND METHODS: Forty-six patients with Stage IB, Grade 2 endometrial carcinoma, were treated with simple hysterectomy and bilateral oophorectomy in our institution. The mean age was 63 (range, 42-81). Surgical staging, defined as peritoneal washing and pelvic lymph node sampling was performed in 73% of patients. Twenty-two patients (47%) received a postoperative intravaginal brachytherapy (IVRT), and 24 patients (53%) were followed-up without additional treatment. RESULTS: The median follow-up was 60 months. The 5-year overall survival for irradiated and nonirradiated patients, was 83.5 and 94.7%, respectively. Four patients (8.7%) developed relapse, two in the group of postoperative IVRT and 2 in the follow-up only group. Multivariate analysis demonstrated a borderline association (P = 0.06) between lower uterine segment involvement and poor pelvic-vaginal control. The presence of GOG #99 high-risk features did not affect the pelvic control rate. CONCLUSION: According to our experience and previously published data, most patients with FIGO Stage IB, Grade 2 endometrial carcinoma may be cured with surgery alone. FAU - Tokar, Margarita AU - Tokar M AD - Department of Oncology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. FAU - Meirovich, Michael AU - Meirovich M AD - Division of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. FAU - Bobilev, Dmitri AU - Bobilev D AD - Department of Oncology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. FAU - Mermershtain, Wilmosh AU - Mermershtain W AD - Department of Oncology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. LA - eng PT - Journal Article PL - Germany TA - Indian J Med Paediatr Oncol JT - Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology JID - 9604571 PMC - PMC4854042 OTO - NOTNLM OT - Adjuvant brachytherapy OT - endometrial adenocarcinoma OT - endometrium OT - radiotherapy EDAT- 2016/05/12 06:00 MHDA- 2016/05/12 06:01 PMCR- 2016/04/01 CRDT- 2016/05/12 06:00 PHST- 2016/05/12 06:00 [entrez] PHST- 2016/05/12 06:00 [pubmed] PHST- 2016/05/12 06:01 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - IJMPO-37-112 [pii] AID - 10.4103/0971-5851.180148 [doi] PST - ppublish SO - Indian J Med Paediatr Oncol. 2016 Apr-Jun;37(2):112-5. doi: 10.4103/0971-5851.180148.