Rectum Pre-Op Radiotherapy Planning
•
GTV:
clinical exam, sigmoidoscopy, MRI
•
CTV:
entire mesorectum from L5/S1 to 2-3cm
below GTV
Consider external iliac LN if tumour invades other organs
Consider inguinal LN if tumour very low (ano-rectal)
•
PTV: CTV + 8-10mm (institutional)




