That's a really important question, and it's one that many MyEndometrialCancerTeam members have wrestled with too. While specific member experiences with your exact profile aren't available here, some general information about brachytherapy for your situation can be shared.
With Stage 1B, Grade 3, Serous and Clear Cell Show Full Answer
That's a really important question, and it's one that many MyEndometrialCancerTeam members have wrestled with too. While specific member experiences with your exact profile aren't available here, some general information about brachytherapy for your situation can be shared.
With Stage 1B, Grade 3, Serous and Clear Cell types, brachytherapy is often strongly recommended because these are considered higher-risk factors for recurrence. Vaginal brachytherapy specifically targets the vaginal cuff — the area most likely to see a return of cancer after a hysterectomy. Here's what brachytherapy typically involves:
- A small applicator (similar in size to a tampon) is placed in the vagina
- Each session lasts about 10–20 minutes
- Most people receive at least 3 doses, either daily or weekly
- It's usually done as an outpatient procedure
Common side effects to be aware of include:
- Vaginal dryness (most common long-term effect)
- Vaginal irritation or discharge
- Possible vaginal stenosis (narrowing) over time
- Bladder or rectal irritation (less common than with external radiation) Decisions about declining chemotherapy while proceeding with brachytherapy are deeply personal and should always be made in close conversation with your oncology team. Given your specific cancer type (Serous and Clear Cell), your doctors are best placed to weigh the risks and benefits for your unique situation.
September 7
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