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CTV proximal tumor

1. GTV + 3-4 cm longitudinal

along mucosa. For very

proximal tumors, the upper border

should not

extend above the level of the cricoid cartilage

unless there is gross disease at that level

.

2. GTV + 1 cm radial

: microscopic spread + para-

esophageal

St.8 (IASLC)

.

Heart level +

0,5 cm

into cardiac tissue (in the

absence of gross invasion)

Wu AJ et Al – Int J Radiat Oncol Biol Phys– 2015