Gynae BT 2017

Elective nodal CTV according to risk on nodal spread

Risk profile according to EMBRACE II study protocol

• Intermediate risk : upper border level of aortic bifurcation or defined by bony anatomy (L3/34) • High risk : Depending on extension of nodal disease into common iliac region consider or ≥ 3 pelvic nodes:

inclusion of low PAO region up to renal vessels (L2), extension of at least 3 cm above highest affected node

Low risk (stage IB1, N0, PEC): Upper border: common iliac bifurcation

•

L2

high risk

L3

intermediate risk

L4

L5

low risk

S2