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Stage II A-IV A
High Risk CTV
:
- always whole cervix
plus (presumed) residual disease in adjacent tissues
Intermediate Risk CTV *
: HR CTV + adjacent tissue
-medial parametria
( at least 10 mm* beyond HR CTV)
-upper vagina
( at least 10 mm below os level or HR CTV *)
-nearby uterine corpus
( at least10 mm* beyond HR CTV)
*
Always including previously involved anatomical sites (GTV at diagnosis)
and respecting anatomical borders