myEndometrialCancerTeam

It sounds like you're asking whether chemotherapy is necessary given a stage 2, grade 2A diagnosis with negative lymph nodes, ovaries, and fallopian tubes, but with some cancerous cells found in the pelvic wash.

That's a really important question, and the short answer is: it depends on your full picture, and your oncologist Show Full Answer

It sounds like you're asking whether chemotherapy is necessary given a stage 2, grade 2A diagnosis with negative lymph nodes, ovaries, and fallopian tubes, but with some cancerous cells found in the pelvic wash.

That's a really important question, and the short answer is: it depends on your full picture, and your oncologist is the best person to make that call. For stage 2 endometrial cancer, the standard treatment typically includes:

- Surgery (removal of the uterus, cervix, fallopian tubes, and ovaries)
- Radiation therapy — most people with stage 2A, and all with stage 2B, receive this to reduce the chance of recurrence

Chemotherapy is more commonly added when there are higher-risk features present. Since your lymph nodes, ovaries, and fallopian tubes are clear, your oncologist may feel radiation alone is sufficient.

However, cancerous cells in the pelvic wash is something your care team will weigh carefully when deciding on additional treatment. The five-year relative survival rate for localized endometrial cancer is around 95%, which is genuinely encouraging news.

It's worth having a direct conversation with your oncologist about why chemotherapy may or may not be recommended for your specific situation. Don't hesitate to ask for a second opinion too — that's always a reasonable step.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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