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Coverage of SV

WBH path series: 51/344 (15%). Clinical Risk stratification

1 risk factor ≈ 15% risk SV + and 3 risk factors ≈ 60% risk SV +

Kestin et al IJROBP 2002

SV +ve beyond 1 cm ≈ 7% of cases

SV +ve beyond 2 cm ≈ 1% of cases

Median distances

Of SV ≈ 3.5 cm

Of SV invasion ≈ 1 cm

My recommendation:

Include proximal 2/3 length or 2-2.5 cm for intermediate-high risk CTV