Table 2

Clinical characteristics of long-term survivors (ie, patients that survived at least 5 years or more after the ILR)

PatientAge* (years)FIGO gradeLVSIAdjuvant therapyLR in an area that was not previously irradiated†Isolated lymphatic recurrence siteTime of recurrence following surgery (years)Treatment of ILRYears from ILR to last follow-upStatus at last follow-up
1393NoEBRT+VBTYesPA2.5Surgery+EBRT24.0Alive
2523YesCHTYesMultiple (PA and supraclavicular)0.4Surgery+CHT11.4Alive
3531NoCHTYesPA2.5Surgery+EBRT13.0Alive
4‡592NoVBTYesPA2.4EBRT6.8Alive
5533YesEBRT+VBTYesPA2.0Surgery+CHT13.8Alive
6502NoEBRT+VBTYesPA0.6Surgery, EBRT, and CHT11.3Alive
7702NoVBTYesPA0.9Surgery+CHT6.6Alive
8571NoNoneYesPA0.4EBRT7.0Alive
9‡581YesEBRTNoMultiple (P and PA)0.5HT7.2Dead
10‡872n/aEBRTNoP0.4HT6.5Dead
11841NoNoneYesDistant2.1Surgery+EBRT5.2Dead
12‡501NoEBRTYesDistant0.8EBRT19.0Dead
13‡623YesEBRTYesDistant0.3HT8.6Dead
14631NoNoneYesMultiple (N/A)6.7Surgery+HT14.9Dead
15681NoVBTYesMultiple (PA and mediastinal)0.7CHT and EBRT5.9Dead
  • All patients had endometrioid histology, except for patient number 13, whose tumor was non-endometrioid.

  • *At primary surgery.

  • †In the case of multiple sites of ILR, such as pelvic and para-aortic recurrence, all the areas need to be not irradiated to consider the ILR as a recurrence in a non-irradiated area.

  • ‡No pathologic confirmation of the recurrence. Diagnosis of recurrence was based on clinical and radiologic suspicion and further consolidated based on response to treatment for the recurrence.

  • CHT, chemotherapy; EBRT, external beam radiation therapy; FIGO, International Federation of Gynecology and Obstetrics; HT, hormonal therapy; ILR, isolated lymphatic recurrence; LR, lymphatic recurrence; LVSI, lymphovascular space invasion; N/A, not available; P, pelvic; PA, para-aortic; VBT, vaginal brachytherapy.