Basic Treatment Planning

Stage I: controversial Treatment following surgery for adenocarcinoma

Grade

1

2

3

IA IB

Observe

Observe

VBT

VBT

VBT

EBRT + ?VBT

VBT: Vaginal Vault Brachytherapy EBRT: External Beam Pelvic RT

Some may add pelvic RT if risk factors - lymphovascular space invasion, lower uterine segment involvement, age >60yrs, bulky tumour