Basic Treatment Planning

Components* of CTV-T

GTV

Intermediate/high signal seen on T2-weighted MR images

Cervix

Entire cervix - if not already included in GTV contour

Uterus

Entire uterus including ovaries

Parametrium

Entire parametrium (+ entire mesorectum if uterosacral ligament involved)

Vagina

Minimal/no vaginal extension - upper 1/2 of vagina Upper vaginal involvement - upper 2/3 of vagina Extensive vaginal involvement - entire vagina

*Extrapolated from surgical approach