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Stage I:

controversial

Treatment following surgery for adenocarcinoma

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

Grade

1

2

3

IA

Observe

Observe

VBT

IB

VBT

VBT

EBRT + ?VBT