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17 Cards in this Set
- Front
- Back
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surgically involved 1-2R
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include in CTV:
1-2R, 4R, 7, 10R maximal upper limit: 1cm above sternal notch but nomolateral SCV node may be treated if needed. maximal lower limit: 4cm below the carina (unless other nodes involved) |
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surgically involved 1-2L
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include in CTV:
1-2L, 4L, 7, 10L maximal upper limit: 1cm above sternal notch but nomolateral SCV node may be treated if needed. maximal lower limit: 4cm below the carina (unless other nodes involved) |
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surgically involved 3 (right-sided tumor)
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include in CTV:
3, 4R, 7, 10R max upper limit: 1cm above sternal notch max lower limit: 4 cm below carina (unless other nodes involved) |
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surgically involved 3 (left-sided tumor)
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include in CTV:
3, 4L, 7, 10L max upper limit: 1cm above sternal notch max lower limit: 4 cm below carina (unless other nodes involved) |
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surgically involved 4R
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include in CTV:
2R, 4R, 7, 10R max upper limit: 1cm above sternal notch max lower limit: 4 cm below carina (unless other nodes involved) |
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surgically involved 4L
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include in CTV:
2L, 4L, 7, 10L max upper limit: 1cm above sternal notch max lower limit: 4 cm below carina (unless other nodes involved) |
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surgically involved 5
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include in CTV:
2L, 4L, 5, 6, 7 maximum upper limit: top of aortic arch maximum lower limit: 4cm below the carina (unless other nodes are involved) |
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surgically involved 6
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include in CTV:
2L, 4L, 5, 6, 7 maximum upper limit: sternal notch maximum lower limit: 4cm below the carina (unless other nodes are involved) |
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surgically involved 7 (right sided tumor)
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to include in CTV:
4R max upper limit: top of aortic arch max lower limit: 5cm below carina |
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surgically involved 7 (left sided tumor)
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include in CTV:
4L, 5, 6, 7 max upper limit: top of aortic arch max lower limit: 5cm below carina |
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surgically involved 8 (right sided tumor)
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to include in CTV:
4R, 7, 8 max upper limit: top of aortic arch lower limit should be the GE junction |
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surgically involved 8 (left sided tumor)
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include in CTV:
4L, 5, 6, 7, 8 max upper limit: top of aortic arch lower limit should be the GE junction |
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rCTV in the mediastinum (resected CTV)
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lymph nodes involved according to path report. the bronchial stump, homolateral hilar node region, and the eventual extension to the mediastinal pleura facing the resected tumor bed completely resected will always be included in the CTV
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CTV in the mediastinum
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In the CTV will be include rCTV plus a margin corresponding to the upper and lower LN station to the involved lymph node area. all LNs that lie between two noncontinguous node stations that are involved will be included in the CTV.
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what two nodal stations are always included?
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4 and 7
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in left sided tumors, what else should be in CTV?
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5 and 6
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per paper, what is our PTV
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owing to organ movements and to setup uncertainties, an additional margin of at least 0.5cm lat and 1cm SI.
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