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Which is better for 73 y/o patient, radical operation or radiation therapy for Cancer of the uterus Stage 1B?


Patient had vaginal hysterectomy for prolapse of the uterus.
Pathology report:
- endometroid carcinoma, well-differentiated
- leiomyomas, multiple intramural, uterus
- chronic cervicitis, mild, with squamous metaplasia and nabothian cysts
Microscopic description:
Sections of the uterus disclose a small area showing a well-differentiated endometriod carcinoma which has infiltrated the immediate underlying endometrium. The rest of the endometrium is atrophic. Within the myometrium are leiomyomas with bland features, the largest among these being extensively fibrotic with focal calcification. In the cervix is a mild chronic inflammation with a prominent reserve cell hyperplasia and cystic mucous glands.

The radical operation because she isn't going to get pregnant because of her age, the cancer isn't metastaisized, and she has prolapse.

I would go with the operation. The radiation may be to harsh on her body. it might will knock out her immune system.

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