Pattern of Recurrences in Endometrial Carcinoma and Their Management

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Abstract
During the period 1961-1971, 177 surgical candidates with clinical stage I adenocarcinoma of the endometrium were treated. The pattern of recurrence according to the initial mode of treatment and the high-risk factors predisposing to recurrence are presented. The incidence of vaginal vault recurrence was reduced from 7.4% with surgery to 1.2% by the use of adjunctive radiotherapy. Management of recurrence according to site is outlined. The local control rate for patients with local recurrence was 44% and the 5 yr survival rate after recurrence was 33%.

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