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Stage IIA-IV A

High Risk CTV

:

- always whole cervix

plus residual disease in adjacent tissues

Intermediate Risk CTV

: HR CTV + adjacent tissue

-medial parametria

( at least 10 mm* beyond HR CTV)

-upper vagina

( at least 10 mm below os level or HR CTV *)

-nearby uterine corpus

( at least10 mm* beyond HR CTV)

.......................including any regions originally involved

.......................constrained to OARs