TVD 2017

CTVe proximal tumor

3. Supra-clavicular nodes:

• Station IVa-b (Grégoire); exlcude trachea up to the thoracic

inlet

4. Peri-esophageal nodes (st8 IASLC) along the

expansion of GTV

5. Mediastinal nodes:

• above the AORTIC ARCH : prevascular nodes (IASLC st 3),

anterior border of the CTV can be extended toward the

sternum and clavicular heads, including the trachea

• Aortic arch CARINA : exclude the prevascular nodes

upper and lower paratracheal St 2 and 4 R-L (IASLC),

subcarinal nodes St 7 (IALSC)

• Below the carina : NO mediastinal nodes, only peri-

Wu AJ et Al – Int J Radiat Oncol Biol Phys– 2015

esophageal