AROI-ESTRO GYN Teaching Course

Elective nodal CTV: Cranial extension

Ongoing investigations and discussion (EMBRACE II)

• Intermediate risk: upper border level of aortic bifurcation or defined by bony anatomy (L3/34) • High risk: Depending on extension of nodal disease into common iliac region consider or ≥ 3 pelvic nodes:

inclusion of low PAO region up to renal vessels (L2), extension of at least 3 cm above highest affected node

Low risk (stage IB1, N0, PEC): Upper border: common iliac bifurcation

•

L2

high risk

L3

intermediate risk

L4

L5

low risk

S2

From EMBRACE II protocol