AROI-ESTRO GYN Teaching Course

CTV contouring (Tumor and Nodes related)

Consists of Primary CTV (high and low risk) and Nodal CTV (elective)

Initial CTV-T:

• GTV • Remaining unaffected cervix • Parametria • Uterus • Vagina • Involved organs (FIGO IVA)

HR-CTV-T initial

LR-CTV-T initial

Nodal CTV: CTV-Elective and CTV-N

• Lymph node regions at risk (vessel orientated) • Affected lymph-nodes: CTV-N