Role Of Adjuvant Radiotherapy In Carcinoma Endometrium

ABSTRACT

Background: Endometrial carcinoma usually present in 6th and 7th decades of life averages age of 60. Endometrial cancer is the most common gynecological cancer presenting a decade earlier when compared with western world. Surgery is the primary treatment for non metastatic endometrial carcinoma followed by adjuvant radiotherapy used in selected cases depending upon adverse histopathological features like stage and grade.Topic was undertaken to study the significance of adjuvant radiotherapy in post operative cases of carcinoma endometrium in decreasing the recurrence.Methods:20 patients of postoperative cases of carcinoma endometrium were selected depending up on the post operative histopathological report. The entire patient were given adjuvant radiotherapy.Results:30% of patients developed grade I gastrointestinal, toxicity. 30% of patients developed grade I bladder toxicity. 19 patients completed adjuvant radiotherapy along with brachytherapy, I patient received intracavitary brachytherapy only.Conclusion:Adjuvant radiotherapy (External Beam radiotheraphy plus vaginal brachytherapy) to operative cases of carcinoma endometrium, significantly decreased the relapse.