A 62 year old patient complaining of postmenopausal vaginal bleeding underwent radical hysterectomy with following findings: endometrioid adenocarcinoma of endometrium, grade 3, more than 50% of myometrial involvement, cervix & adnexa not involved, serosal cut margin 0.1 cm from tumor,lymphovascular invasion present, positive bilateral external & internal iliac & obturator nodes : FIGO IIIC1 Patient is having Rt pelvic kidney extending from L4 to S2 vertebrae & malrotated (hilum facing anterolaterally) left kidney with normal renal function. The patient received 4 cycles of paclitaxel & carboplatin based chemotherapy.
Should we consider pelvic radiation in this patient?
