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Target Volumes

GTV : Tumor + involved nodes

From DRE, EUS, MRI, CT and/or

18

FDG-PET

CTV : ENI +/- ischiorectal fossa (low rectum)

Whole mesorectum

Standard : perirectal nodes, internal iliac, superior

rectal artery

T4 anterior (+ external iliac nodes)

T4 anal canal (+ external iliac and inguinal nodes)