This randomized trial is studying the efficacy and safety of the chemotherapy compared with radiation therapy alone as adjuvant treatment after operation in Patients with high risk and Stage I endometrial carcinoma.
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Inclusion Criteria: * FIGO stage: Ⅰ, endometrial carcinoma; * Female, Chinese women; * Initial treatment is staging surgery; * Pathological diagnosis: Endometrial adenocarcinoma; * Pathologic examination and meet the following one of the indications of adjuvant therapy: ① histopathological grading in poorly differentiated: G3; ② ≥50% myometrial invasion; ③ vascular space involvement; * No prior treatment; * Provide written informed consent. Exclusion Criteria: * Unable to receive surgery and/or unsuitable for radiotherapy or chemotherapy; * Family history of ovarian cancer; * Suffering from other malignancies; * Concurrently participating in other clinical trials; * Unable or unwilling to sign informed consents; * Unable or unwilling to abide by protocol.