1256 / 1481
CTV distal tumor
1. GTV
+ 3-4 cm longitudinal (proximal)
along mucosa,
included also St. 8 para-esophageal (IASLC)
+ 2-5 cm on the gastric mucosa
depending on the
dose (45 Gy or 50 Gy)
2. Mediastinal nodes:
Only para esophageal nodes
along the expansion of GTV
3. Abdominal nodes
:
para-cardial st.1-2
coeliac st 9, para-aortic st. 16a1, gastro-hepatic
ligament (L gastric st 7; lesser curv st.3) + splenic
nodes st 11 (if massive gastric infiltration) (JSED)
Wu AJ et Al – Int J Radiat Oncol Biol Phys– 2015