Table 5.
Adjuvant radiotherapy received (within 3 months after surgery), nodes removed, nodal status, and external-beam radiotherapy (EBRT) received in node-positive patients by risk group defined according to ASTEC radiotherapy eligibility
| Standard surgery (N=683)* | Lymphadenectomy (N=686)* | ||
|---|---|---|---|
| Low-risk early-stage endometrial cancer | |||
| Total | 330 (49%) | 282 (42%) | |
| Radiotherapy received | |||
| Yes | 22 (7%) | 24 (9%) | |
| No | 305 (93%) | 257 (91%) | |
| Unknown | 3 | 1 | |
| External beam +/− brachytherapy | 12 (4%) | 9 (3%) | |
| Brachytherapy only | 10 (3%) | 15 (5%) | |
| Nodes removed | |||
| Yes | 8 (2%) | 255 (92%) | |
| No | 314 (98%) | 22 (8%) | |
| Unknown | 8 | 5 | |
| Median number of nodes (range) | 2 (1–3) | 12 (1–59) | |
| Nodal involvement | |||
| Yes (received EBRT) | 1 (1) | 6 (2) | |
| No | 7 | 249 | |
| Intermediate-risk and high-risk early-stage endometrial cancer | |||
| Total | 243 (36%) | 264 (39%) | |
| Radiotherapy received | |||
| Yes | 137 (56%) | 138 (53%) | |
| No | 106 (44%) | 124 (47%) | |
| Unknown | 0 | 2 | |
| External beam +/− brachytherapy | 102 (42%) | 98 (37%) | |
| Brachytherapy only | 35 (14%) | 40 (15%) | |
| Nodes removed | |||
| Yes | 14 (6%) | 244 (93%) | |
| No | 226 (94%) | 17 (7%) | |
| Unknown | 3 | 3 | |
| Median number of nodes (range) | 1 (1–16) | 12 (1–51) | |
| Nodal involvement | |||
| Yes (received EBRT) | 4 (1) | 21 (12) | |
| No | 10 | 233 | |
| Advanced endometrial cancer | |||
| Total | 103 (15%) | 124 (19%) | |
| Radiotherapy received | |||
| Yes | 62 (61%) | 64 (53%) | |
| No | 40 (39%) | 56 (47%) | |
| Unknown | 1 | 4 | |
| External beam +/− brachytherapy | 55 (54%) | 55 (46%) | |
| Brachytherapy only | 7 (7%) | 8 (7%) | |
| Nodes removed | |||
| Yes | 10 (10%) | 103 (85%) | |
| No | 91 (90%) | 18 (15%) | |
| Unknown | 2 | 3 | |
| Median number of nodes | 2 (1–6) | 13 (1–38) | |
| Nodal involvement | |||
| Yes (received EBRT) | 4 (0) | 25 (8) | |
| No | 6 | 78 | |
| Unknown, unable to classify risk group | |||
| Total | 7 | 16 | |
Excludes patients whose pathology details did not confirm endometrial cancer.