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I just had a hysterectomy on 10/17/25, I’m stage 1,A grade 2. The cancer had only infiltrated my muscle 6% and the lymph nodes were clear. My question is do I do radiation to void possibly coming back or are side effects worse than not having radiation. The only factor that the radiologist told me is against me is my age. I am 79 years, I think because of being that age It’s a little bit more at risk of it reoccurring. I’m very conflicted as to what to do, any help either way would be greatly… read more

November 7, 2025
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A MyEndometrialCancerTeam Member

I was also diagnosed with stage 1a grade 2 last January. I underwent my hysterectomy in February. I’m 70 years old. I was never given the option of radiation. Or any other treatment or imaging. My oncologist said she wants me to go for check ups every 6 months. I was concerned that nothing more would be done. I was told that the surgery would be enough. So I can’t help with your decision but thought you would like to hear from someone with the same stage and grade. Good luck!

November 11, 2025
A MyEndometrialCancerTeam Member

I have same. My surgeon, top in his field here in newark Delaware said and showed me the quidelines. Brachytherapy recommended for stage1a grade 2 when over 60. I am 70 so i am doing the radiation.

January 14
myEndometrialCancerTeam

Should you have radiation therapy after your hysterectomy for stage 1A, grade 2 endometrial cancer?

This is understandably a tough decision. With your early stage and clear lymph nodes, surgery may be all you need. Some people with stage 1 endometrial cancer only require surgical treatment.

However, it's worth knowing Show Full Answer

Should you have radiation therapy after your hysterectomy for stage 1A, grade 2 endometrial cancer?

This is understandably a tough decision. With your early stage and clear lymph nodes, surgery may be all you need. Some people with stage 1 endometrial cancer only require surgical treatment.

However, it's worth knowing that about 15 to 20 percent of people with endometrial cancer may experience recurrence after hysterectomy. Most recurrences in early-stage endometrial cancer happen in the vaginal area when no additional treatment is given.

Brachytherapy (the internal radiation therapy you're considering) can help lower the chance of cancer returning in vaginal tissue, particularly in the vaginal cuff area. Regarding side effects, brachytherapy treatments typically last 10 to 20 minutes and are done at least three times (either daily or weekly). Short-term effects may include:

* Skin rash or irritation
* Bladder, rectum, or vaginal irritation

Longer-term effects can include:

* Scar tissue in the vagina that may make penetrative sex painful
* Weakening of bones
* Severe swelling (lymphedema) - though less common
* Rarely, bowel blockage

Many of these side effects can be managed with your care team's support. It's important to communicate any symptoms so they can help you manage them with appropriate treatments or medications. Your specific situation (low muscle infiltration, clear lymph nodes, early stage) suggests you have favorable factors, but your doctor identified age as a consideration for recurrence risk.

This is truly a personal decision that balances your individual risk factors against potential side effects. Having an honest conversation with your radiologist and oncologist about your specific recurrence risk percentage and whether the benefits outweigh the risks in your particular case would be valuable.

A MyEndometrialCancerTeam member might tell you that getting clarity on your personal recurrence risk numbers helped them make this decision with more confidence.

November 7, 2025
A MyEndometrialCancerTeam Member

Thank you so much for your input! 🥰

November 9, 2025
A MyEndometrialCancerTeam Member

After surgery I had radiation therapy to clear small tumours in the peritoneal area. Apart from being tired while they were being done. I had no side effects. Since then, 2 years ago, I have tumours recur else where in lymph nodes around the aortic valve and neck. But no recurrence in the peritoneal area, for which I am grateful. I am stage 4b endometrial cancer.

November 9, 2025

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