ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Pelvic Lymph Nodes

• High risk patients • Treatment of Presacral LNs (subaortic only) • 7mm around iliac vessels,carving out bowel, bladder and bone • Commence contouring at distal common iliac vessels at L5/S1 interspace • Stop external iliac contours at top of femoral heads (boney landmark for Ing. ligament) • Stop contours of obturator LNs at top of symphsis pubis

Laswon et al, Prostate Pelvic Lymph Node Atlas https://www.rtog.org/CoreLab/ContouringAtlases/ProstatePelvicLymphNodes.aspx

ESTRO IG and Adaptive Course Parikh Budapest 2018

03/01/13