前列腺癌淋巴结和靶区勾画.ppt

51 51/93 52 52/93 53 53/93 54 54/93 55 55/93 56 56/93 57 57/93 58 58/93 59 59/93 60 60/93 61 61/93 62 62/93 63 63/93 64 64/93 65 Pelvic Nodal Consensus CTV Contours: High Risk/ Locally Advanced Adenocarcinoma of the ProstateColleen A F Lawton MDMedical College of Wisconsin Based on Data Presented Consensus Was Obtained Including: Treatment of Presacral LNs (subaortic only) 主动脉弓下骶前淋巴结的治疗 7mm around iliac vessels,carving out bowel, bladder and bone 髂血管周围7mm，勾画肠道、膀胱、骨骼 Commence contouring at distal common iliac vessels at L5/S1 interspace 从L5/S1间隙髂总血管远端开始 Stop external iliac contours at top of femoral heads (boney landmark for Ing. ligament) 髂外勾画至股骨头顶端（Ing.ligament的骨性标志） Stop contours of obturator LNs at top of symphsis pubis 闭孔淋巴结勾画至耻骨联合 23 23/93 24 24/93 25 25/93 26 26/93 27 27/93 28 28/93 29 29/93 30 30/93 31 31/93 32 32/93 33 33/93 34 34/93 35 35/93 36 36/93 37 37/93 38 38/93 39 39/93 40 40/93 41 41/93 42 42/93 43 43/93 44 44/93 45 45/93 46 46/93 47 47/93 48 48/93 49 49/93 50 50/93