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Primary CTV:

GTV

Cervix

Parametria

Uterus

Vagina

Involved organs (FIGO IVA)

Ovaries ?

Nodal CTV:

Affected lymph-nodes and

bowel loop

round ligament

Primary CTV: LR CTV-T

initial

Overall risk of ovarian metastases is small, increased risk reported for:

• adeno/adenosquamous histology, even micro-invasive

• high grade and LVSI

• extension into the uterine corpus

• ovaries can be highly mobile !

LR-CTV-T

initial