AROI-ESTRO GYN Teaching Course

Primary CTV: LR CTV-T

initial

Overall risk of ovarian metastases is small, increased risk reported for: • adeno/adenosquamous histology, even micro-invasive • high grade and LVSI

• extension into the uterine corpus • ovaries can be highly mobile !

Primary CTV:

round ligament

bowel loop

• GTV • Cervix • Parametria

LR-CTV-T initial

• Uterus • Vagina • Involved organs (FIGO IVA)

• Ovaries ?

Nodal CTV:

• Affected lymph-nodes and