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BT-GYN Teaching Course

D. Berger

Treatment planning concept for locally advanced vaginal cancer

currently used at the Medical University of Vienna

Intro

Mission

Concept

New target concept including three different

target volumes is currently under investigation:

1)

HR CTV:

the clinically

palpable disease and, on MRI, the visible residual disease

plus the surrounding gray zones (D90, >85Gy)

2)

IR CTV:

the region of initial tumor extension

(D90, 60Gy)

3)

Low-Risk CTV:

complete

remaining vagina

(D90, 50 Gy).

HR CTV

IR CTV

LR CTV

Dimopoulos et al. 2011 IJROPB

Clinical results and DVH parameter in