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Limitations of pure intracavitary techniques

middle/distal parametrial tumor extension

unfavourable topography/unfavourable relation to

the applicator (e.g. asymmetrical tumors)

(depending on applicator position)

2-3 cm distal intravaginal tumor growth

para-vaginal tumor growth

unfavourable topography of organs at risk

(not predictable – correction within the frame of

subsequent applications)