Cervix

Question 1

Describe stage 1

Answer 1

Confined to cervix

1A microscopy
1A1 <3mm depth
1A2 3-5mm depth

1B macroscopic
1B1 >5mm depth and <2cm dimension
1B2 2-4cm
1B3 >=4cm

Question 2

Describe stage II

Answer 2

IIA invading upper 2/3 vagina without parametrial invasion

IIA1 <4cm
IIA2 >4cm

IIB parametrial invasion

Question 3

Describe stage III

Answer 3

IIIA lower 1/3 vagina
IIIB extension to pelvic wall +/- hydronephrosis/non functioning kidney
IIIC1 pelvic LN
IIIC2 paraaortic LN

Question 4

What XRT dose is given to involved LN

Answer 4

SIB 55Gy within pelvis, 57.5Gy outside pelvis

Question 5

What should the OTT be?

Answer 5

<50 days

Question 6

What does your CTV-T include?

Answer 6

GTV and remaining cervix, parametrium, uterus, 1st 2cm into vagina below GTV

Question 7

Describe your elective nodal CTV

Answer 7

Common iliac, int & external iliac, obturator and pre-sacral nodes. Contour vessels with a 7mm rollerball.

Question 8

What is the inferior slice of CTV

Answer 8

At level of ischia spine, unless distal vaginal involvement then include inguinal region

Question 9

What is your superior slice of CTV?

Answer 9

Slice below the aortic bifurcation

If positive common iliac nodes or >3LN then superior border is L2 (renal vein) or 2cm above +LN