鼻咽癌靶区勾画-罗伟讲课资料.ppt

Node - positive The risk of extracapsular extension (ECE) is portional to the size of the lymph node: 20~40% for nodes 1cm, 75% for bulky nodes 3 cm . Node 3 cm, additional adjacent structures at risk of tumor Infiltration should be included in the CTV. Node - positive When the fascia has been disrupted, the whole muscle is at risk. Whether the entire muscle should be included in CTV, or only a portion of it in the vicinity of the node, is unknown. Node - positive For the node-positive neck: 1. whether the cranial limit and caudal limit of the CTV should be enlar