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Workshop:ASTRO Annual Refresher Course March 25-26 ,2026 Faculty:Dr. Neil Taunk, MD, MSCTSCase Description:This is a 74 year woman with a 2cm cT1N0 multifocal primary squamous cell vaginal cancer with bulk of disease in the distal right vaginal canal, biopsy proven but intact. The patient is shown simulated full bladder (empty bladder scan not shown). She will have treatment of the entire vaginal canal given multifocal disease, whole pelvis, and bilateral groins which are clinical clinically negative by PET and MR.Homework:(P)CTVn on Slices 80, 110, 116(P)CTV_Full on Slices 110Disabled Contours: All contours disabledEnabled Contours: NoneResource Files: - Vignette- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
Workshop:ASTRO Annual Refresher Course March 25-26 ,2026 Faculty:Dr. Neil Taunk, MD, MSCTSCase Description:This is a 39 year old woman with cT3N3 (Group Stage IVA) Squamous cell cancer of the vulva. The patient presents with bilateral labia majora disease with involvement of the distal vagina and distal urethra. The patient has bilateral inguinal lymph nodes including ulcerating left inguinal nodes. The patient will be treated with 50Gy in 25 fractions to elective nodal and primary regions, and conedown to 64Gy total dose in 7 additional fractions with concurrent weekly cisplatin and IG-IMRT. The patient is staged with PET and MRHomework:(P)CTVn on Slices 93, 103, 118(P)CTVp on Slices 103, 118(P)GTVn on Slices 93, 103Disabled Contours: All contours disabledEnabled Contours: NoneResource Files: - Vignette- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
