The purpose of this study is to determine the progression-free survival of patients with
surgically staged, Stage I-II papillary serous, clear cell, or endometrioid carcinomas with
high-intermediate risk factors treated by vaginal cuff brachytherapy followed by
All patients must have undergone complete surgical staging including bilateral pelvic and
para-aortic lymphadenectomy. All patients will receive radiation therapy. Treatment will be
delivered either by LDR or HDR brachytherapy. The treatment plan must be started at the time
of enrollment. The vaginal brachytherapy should be started within 4 weeks of surgery (within
2 weeks of enrollment), in order to avoid delays in initiation of systemic therapy, which
should start on post-operative day 21. The dose will be prescribed to the vaginal (mucosal)
surface as defined at the surface of the applicators. Following vaginal cuff radiation
therapy, all patients will receive chemotherapy.
- All patients must have undergone specified complete surgical staging.
- Patients must be surgically staged endometrial cancer patients at high-risk for
- Patients must have adequate bone marrow, renal and hepatic function.
- Patients with recurrent disease.
- Patients with GOG performance status of 3 or 4.