Please Tag Oncologist

Question

my question is that if all margins come clear of invasive carcinoma in biopsy and bilateral parametria and bilateral adnexa are negative for malignancy, there isn't any history or risk factor, total abdominal hysterectomy is done (biopsy conducted after surgery) p53 is negative, is there still any need of radiotherapy?

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Dr. Muhammad Afham Shahid · Answer

Assalamualaikum-wa-rehmatullah-e-wa-barakatuhu

Please be careful while planning adjuvant therapy. Always consult a clinical radiation oncologist for such important decisions. Much depends on type and site of primary, grade, histology, previous stage, initial plan. It's not only the margins that matter.

Dr. Kiran · Answer

exact age of your patient??
operative findings,any suspicious lymph nodes during surgery as lymph node dissection was not done
no LVI reported as well
if no ln age is also less than 60 no LVI then will observe