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Ghadjar P, et al. IJROBP 2009

•Median ECE: 1 mm (0.4 – 9)

•Larger N – Larger ECE

Bern University Hospital

Distance of Extracapsular Extension (ECE)

H&N Cancer

231 N with ECE

>95% of cases: ECE ≤5 mm

From GTV to CTV

+5 mm?