Primary CTV:
•
GTV
•
Cervix
•
Parametria
•
Uterus
•
Vagina with varying length
•
Involved organs (FIGO IVA)
Nodal CTV:
•
Affected lymph-nodes and
draining areas
Fornix or no invasion
Upper invasion
Lower invasion
1/3
1/2
whole
Amount of vagina selected for target delineation is depending on vaginal tumor extension
In any c se: at least 2 cm caudal to vaginal extension of GTV
Initial CTV components:
LR-CTV-T
initial