A 65-year-old woman treated with surgery and adjuvant radiotherapy for Stage II endometrial carcinoma 2 years ago presents with back pain. Imaging reveals an isolated 2 cm para-aortic lymph node recurrence with no other distant disease. She has not received prior chemotherapy. What is the most appropriate management?
- A Palliative care only
- B Surgical debulking of the node
- C Chemoradiotherapy ✓
- D Hormonal therapy with progestins
Correct answer: C. Chemoradiotherapy
Explanation
An isolated para-aortic recurrence in a patient with a disease-free interval and no prior radiation to that field is potentially curable. The standard approach is concurrent chemoradiotherapy, which offers the best chance for long-term disease control in this oligometastatic setting.
Reference: Harrison's Principles of Internal Medicine, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.