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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)