After more than 3 years of irregular periods and spotting, I was finally diagnosed with Stage 2 Grade 2 Endometrial Cancer after a radical hysterectomy. The pathology report states no LVSI, less than 50 % invasion of the uterus, type 1, mostly grade 1 cancer cells but with some grade 2 cancer cells, extension to cervix about 4mm invasion. As the biospy before hysterectomy suggested it was grade 1, type 1 only, no MRI was performed. No lumph nodes were tested during the hysterectomy. I am now arranged to have 23 rounds of external radiotherapy n 3 rounds of internal radiotherapy. My worry is: how would it be sure that it is only Stage 2 but not Stage 3c if the lymph nodes were not checked? I am going to start the radiotherapy in January, should I have a PET scan? Are there ways to ascertain my lymph nodes status at this moment?
Basically lymph node dissection is suggested if uterine cancer is suspected
But if it was not done , there are two options
1. Go surgery again and having lymph node dissection
2. Proceed imaging scan such MRI pelvis and PETCT to look for Lymph node status
But if it was not done , there are two options
1. Go surgery again and having lymph node dissection
2. Proceed imaging scan such MRI pelvis and PETCT to look for Lymph node status
Nowadays the sensitivity of imaging scan is high actually,
So more patients preferred imaging instead of going into the operation room again.
So more patients preferred imaging instead of going into the operation room again.
If no metastasis is found , stage ii ca corpus is treated with whole pelvic radiotherapy and brachytherapy.
For imaging scan, she can have PETCT if she also want to look for distant metastasis.
