Gynae BT 2017

Initial CTV components: LR-CTV-T initial

Primary CTV:

round ligament

bowel loop

• GTV • Cervix • Parametria

LR-CTV-T initial

• Uterus • Vagina • Involved organs (FIGO IVA)

• Ovaries ?

Nodal CTV:

Over l 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 !

• Affected lymph-nodes and