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Initially involved mediastinal area

in PR

:

GTV

: lymph node remnant(s) or remaining mass alone

CTV

: encompassing

volume of the mediastinal mass

before

chemotherapy

according to post chemotherapy

topography

– length of lymph nodes

before

CHT

– Width of lymph nodes

after

CHT

– displaced normal structure not included

– not exceed lateral mediastinal borders

– vessels not included (whenever possible)

CTV-PTV margin

:

1cm isotopic margin

Involved node concept EORTC