715 / 1481
4)
CTV
FOR INTACT CARCINOMA OF THE CERVIX
UTERUS
K
. Lim et al. 2011
Entire UTERUS should
be included in the CTV
Reasons for including entire uterus:
-
Uterus and cervix are
embryologically one unit
-
No clear separating fascial plane
-
Myometrial invasion radiologically or
clinically can be difficult
-
Recurrence rates after radical
trachelectomy (up to 10%) for tumor
> 2 cm or with LVI
Infiltration into upper uterine segment