Gynae BT 2017

Initial CTV components

CTV has components of Primary tumor + Nodal CTV

Primary tumor related CTV components :

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

HR-CTV-T initial

LR-CTV-T initial

Nodal CTV related components:

• Elective draining lymphatic regions (vessel orientated) CTV-E • CTV’s for affected lymph-nodes CTV-N