309 / 1726
Primary CTV:
•
GTV
•
Cervix
•
Parametria
•
Uterus
•
Vagina
•
Involved organs (FIGO IVA)
•
Ovaries ?
Nodal CTV:
•
Affected lymph-nodes and
bowel loop
round ligament
Over l risk of ovarian metastases is small, increased risk reported for
• adeno/adenosquamous histology, even micro-invasive
• high grade and LVSI
• extension into the uterine corpus
• ovaries can be highly mobile !
LR-CTV-T
initial
Initial CTV components:
LR-CTV-T
initial