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Primary CTV:

GTV

Cervix

Parametria

Uterus

Upper Vagina

Involved organs (FIGO IVA)

Nodal CTV:

Affected lymph-nodes and

draining areas

www.contourpoint.com

Lim K, et al. IJROBP 2010

Why the entire uterus?

Initial CTV-T: LR CTV-T

initial