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GEJ- UP ⅓
CTV Definition: Tumor bed and longitudinal surgical margins
•
Paraesophageal;
•
Perigastric nodes (if subtotal surg)
•
Subpyloric is optional
LNs: 1,2,3,4,(5,6),19-20? 110-111?
MID ⅓
•
Perigastric lymph nodes (cardia,
lesser and greater curvature);
CTV DELINEATION: Postoperative Setting
Antral Lesion- Low
⅓
•
Splenic hilus and splenic artery;
•
Infrapyloric area;
•
Superior retropancreatic chain;
•
Hepatoduodenal ligament;
LNs: 1,2,3,4,5,6,7; 10, 11, 12, 13
•
Subpyloric;
•
Pancreaticoduodenal;
•
Splenic hilar is optional
LNs: 6,7; (10), 11, 13
Smalley
et al.; IJROBP -
2002