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




