<prompt> Treatment options for stage IV endometrial carcinoma is :Only surgeryOnly chemotherapyOnly radiotherapySurgery, Radiotherapy, Chemotherapy and Hormonal therapy  <response>: Treatment for Stage IV endometrial carcinoma is Palliative radiotherapy, chemotherapy and progestogen may prolong life. The study of lymph nodes will determine the need for postoperative pelvic radiotherapy. Reference: Shaws Textbook of Gynaecology 16th edition page no 512 