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However, she received sequential chemotherapy and radiotherapy with a good partial response. She has now been started on hormonal therapy with an alternate megestrol and tamoxifen regime. There is a lack of follow-up imaging guidelines to detect late relapse, a dilemma in preferred treatment sequencing at relapse and an enigma in selecting chemotherapy or hormonal therapy.<\/jats:p>","DOI":"10.1136\/bcr-2023-259008","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T23:46:26Z","timestamp":1716421586000},"page":"e259008","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic and therapeutic challenges in a recurrent endometrial carcinoma in lung, 15 years after primary treatment"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3779-7645","authenticated-orcid":false,"given":"Amitabh Kumar","family":"Upadhyay","sequence":"first","affiliation":[{"name":"Medical Oncology, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Medical Oncology, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaditya","family":"Prakash","sequence":"additional","affiliation":[{"name":"Radiation Oncology, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Kumar","sequence":"additional","affiliation":[{"name":"Nuclear Medicine, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"2025082708341757000_17.5.e259008.1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1038\/s41572-021-00324-8","article-title":"Endometrial cancer","volume":"7","author":"Makker","year":"2021","journal-title":"Nat Rev Dis Primers"},{"key":"2025082708341757000_17.5.e259008.2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"2025082708341757000_17.5.e259008.3","doi-asserted-by":"crossref","unstructured":"McCluggage WG , Bosse T , Gilks CB , et al . 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