Gynae BT 2017

Vaginal cancer: image-guided adaptive brachytherapy (IGABT)

CTV

IR : safety margin for presumed adjacent significant microscopic disease Integrates initial tumor extension at diagnosis ( GTV init )

Includes the CTV

HR plus an isotropic margin of minimal 5 mm

limited by previously unaffected anatomical borders/compartments pubic bone, pelvic wall, pelvic floor musculature, bladder, urethra, mesorectal fascia, rectum, anal sphincter In case of infitration of hollow organs (rectum, urinary bladder) before radiochemotherapy only the organ wall without the lumen should be included

GUSTAVE ROUSSY

THÈME DU DIAPORAMA