Adjuvant intracavitary or whole pelvic radiation therapy is recommended
when the endometrial tumor is grade 3 or the tumor invades more than half
the depth of the myometrium. For stage II or greater disease, preoperative
intracavitary radiation and postoperative external beam radiation should be
considered.
Radioactive phosphorus (P32) may be used for intraperitoneal treatment of metastases.
No standard chemotherapy regimen, although adriamycin and cisplatin have been tried in various combinations
Methotrexate alone
Methotrexate with leukovorin rescue
Actinomycin D
Combinations
MAC (methotrexate, actinomycin D, cytoxan or chlorambucil)
EMA-CO (etoposide, methotrexate, actinomycin D, vincristine, cytoxan)
EMA-CE (etoposide, methotrexate, actinomycin D, etoposide, cisplatin)
(for extensive disease or recurrence)
Medroxyprogesterone acetate (Depo-Provera)
Hydroxyprogesterone (Delalutin)
Megestrol acetate (Megace)
Tamoxifen
(under clinical evaluation)