Mednet Logo

What is the anterior expansion for the paraaortic CTV in endometrial and cerivcal cancer?

The 2020 NRG endometrial and cervix contouring guideline update said the anterior margin is a straight line between the aorta and IVC. Should there be an anterior 7-10 mm expansion on the IVC and aorta as cited by the two following atlases? https://pubmed.ncbi.nlm.nih.gov/29523410/ https://www.redjournal.org/article/S0360-3016(13)00596-8/pdf
1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Usually, around 5mm with editing based on the patient's anatomy and fixed organs like the duodenum.

Kabolizadeh, Fulay and Beriwal - PMID 23849691

Join for free or sign in to see the full answer