Microsoft PowerPoint - TVD2017_Intro_VK_ws

• Recommendations for Prostate Bed CTV

– Centrally:

anastomosis

– Inf:

include the apex (about 15mm cranial from penile bulb)

– Ant:

include the anastomosis and urethral axis

– Post:

up to but not including outer rectal wall, cranially to

include the posterior part of the bladder neck

– Lat:

up to neurovascular bundles or ilio-obturatic muscles

– Sup:

Bladder neck (posterior portion)

• Margins

– 5 mm

in directions for

microscopic extension

– 5 mm

in posterior &

lateral

in presence of

margin+

but

exclude rectal wall

EORTC: Post-op XRT CTV

Poortmans et al R&O 2007