240 / 1119
w
0 cm
1 cm
2 cm
3 cm
4 cm
5 cm
6 cm
MAX
RT
LT
ANT
P0ST
h
= ___ cm
t
= ___ cm
w
= ___ cm
NMD (R)=___cm
NMD (L)=___cm
Vag. Disease
Ant:
___ cm
Post:
___ cm
RT Lat: ___cm
LT Lat: ___cm
At Diagnosis
At BT
Name/ Initials:
ID:
FIGO Stage:
Tumor Type: Expansive / Infiltrative / Combined
Clinico-radiological distances from central canal