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57-year-old female with 1 month postmenopausal bleeding and pelvic pain.
CT Pelvis /Abd showed slightly enlarged heterogeneous appearance of uterus w/central mass lesion c/w known endometrial carcinoma.
Chest X-ray normal.
Endometrial scrape - endometrioid endometrial adenocarcinoma.
TAH/BSO - endometrioid adenocarcinoma, FIGO G3 with 55% invasion of the myometrium, 2/19 pelvic LNs positive, leiomyomas.
TAH/BSO w/pelvic LN dissection.
Radiation: External beam radiation 6MV to pelvis 4500 cGy total
Radiation: High dose vaginal cylinder brachytherapy x 3 doses