RESUMO
It is proposed to delineate the anatomo-clinical target volumes of primary tumor (CTV-P) in ethmoid cancers treated with post-operative radiotherapy. This concept is based on the use of radioanatomy and the natural history of cancer. It is supported by the repositioning of the planning scanner with preoperative imaging for the replacement of the initial GTV and the creation of margins around it extended to the microscopic risk zones according to the anatomical concept. This article does not discuss the indications of external radiotherapy but specifies the volumes to be delineated if radiotherapy is considered.
Assuntos
Osso Etmoide , Planejamento da Radioterapia Assistida por Computador/métodos , Neoplasias Cranianas/radioterapia , Osso Etmoide/anatomia & histologia , Osso Etmoide/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Cuidados Pós-Operatórios/métodos , Neoplasias Cranianas/diagnóstico por imagem , Neoplasias Cranianas/cirurgia , Tomografia Computadorizada por Raios XRESUMO
This article provides a proposal for the selection and delineation of clinical target volumes for the treatment with radiation of submandibular glands tumours. This article does not deal with external radiotherapy indications but specifies the volumes to be treated if radiotherapy is chosen. High-risk and low-risk peritumoral clinical target volumes are described based on the probability of local tumoral spread. High-risk and low-risk clinical target volumes are illustrated on CT-scan slices. A proposal for the selection of nodal clinical target volumeis also proposed.
Assuntos
Planejamento da Radioterapia Assistida por Computador/métodos , Neoplasias da Glândula Submandibular/radioterapia , Humanos , Irradiação Linfática/métodos , Imageamento por Ressonância Magnética , Invasividade Neoplásica , Tamanho do Órgão , Dosagem Radioterapêutica , Risco , Neoplasias da Glândula Submandibular/diagnóstico por imagem , Neoplasias da Glândula Submandibular/patologia , Tomografia Computadorizada por Raios X , Carga TumoralRESUMO
Salivary glands tumours are uncommon tumours showing a large diversity of histological types. This article presents a synthesis of patterns and paths of invasion of parotid glands tumours in order to propose an approach of the delineation of primary tumour clinical target volumes and of the selection of lymph nodes target volumes. This article does not discuss treatment indications but defines clinical target volumes to treat if radiotherapy is indicated. Postoperative situation being the most frequent, the delineation of primary tumour clinical target volume is based on an anatomical approach.