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w = 1.0

cm

h = 1.0

cm

t = 1.0

cm

w

Dose of EBRT

Gy

0.5cm

Vagina:

0.3

cm

Note: the small extension of vaginal involvement can be measured

only on clinical exam. In this case, it can be included in w.

45

/ /

dd/mm/yy

Signature

At Diagnosis

At Brachytherapy

X

IIA