endometrial cancer staging and treatment

i was initialy diagnosed with this cancer in 2002. i had total histerectomy, and the doctors said because it's a stage 1b carcenoma, i did not need further treatment. Unfortunatelly the cancer did come back, this time the same one on top of the vagina, 9 months exactly after the first one. Although i am fine now, i have had devestating injuries from the chemoradiation. i lost a bladder, kidney, and some permanent injuries to the colon. i have been speaking to a solicitor about this, and after going through my file she found out from one of their correspondent report where it said it was a grade 2b carcenoma, which fit with the one i had previously.My question now is, is there a standard guide for treating
2b endometrial carcenoma? Does the grading change when you have a same tipe of reaccurence tumor in the same area? is my sideeffects are bad because of the surgery two laproscopic vaginal surgeries, one for to take a sample and the extra dose of chemoradiation treatment?

[DrNoopurMD]

Hi,

The treatment of endometrial cancer depends on the staging. The treatment of stage 2b endometrial cancer will include a total abdominal hysterectomy, bilateral removal of ovaries, removal of lymph nodes in pelvis and abdomen, followed by radiation therapy or it can be internal and external radiotherapy followed by surgery as mentioned above.
The recurrence of cancer does not change the grading. Grade depends upon the size of the tumor and metastasis ie involvement of lymph nodes and organs.