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| Physical Exam | 12/29/XX |
60 year old female had routine Pap suspicious for adenocarcinoma. Bimanual exam shows firm cervical os, no symptoms reported. |
| X-Rays & Scans | 01/15/XX |
MRI showed thickening and heterogenous signal in endometrium c/w known endometrial Ca. Appears to be FIGO Stage 2 disease w/involvement of cervical glands. No extension through myometrium into surrounding structures. |
| Pathological Reports | 01/10/XX |
Endometrium biopsy: Grade 2 moderately differentiated endometrioid adenocarcinoma. |
| 01/20/XX | Uterus: superficially invasive endometrioid adenocarcinoma, moderately differentiated, measuring 3 cm, involves endocervical glands. All margins negative. Bilateral tubes and ovaries negative. Left iliac lymph nodes 0/3 positive. Para-aortic lymph nodes 0/4 positive. | |
| Treatment | 01/20/XX
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Surgery: Total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aortic lymphadenectomy. |
| 03/15/XX | Radiation: 2100 cGy in three fractions to vaginal cuff using Iridium-192 HDR brachytherapy | |
