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5/30/16

19

EHNS-ESTRO H&N course

Florence, June 2016

Ghadjar et al. IJROBP, 2010

From primary nodal GTV to

“high dose” CTV

EHNS-ESTRO H&N course

Florence, June 2016

96 neck nodes with ECE,

96%<5 mm from capsule

“For N1 nodes that are at high risk for ECE but not grossly

infiltrating musculature, 1 cm clinical target volume margins

around the nodal gross tumor volume are recommended to

cover microscopic nodal extension in head-and-neck

cancer.”

From primary nodal GTV to

“high dose” CTV

Apisarnthanarax et al. IJROBP, 2006