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==Case 01: Intact vulvar cancer with bulky inguinal nodes==
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Workshop:
ASTRO Annual Refresher Course March 25-26 ,2026

Faculty:
Dr. Neil Taunk, MD, MSCTS

Case 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 MR

Homework:
(P)CTVn on Slices 93, 103, 118
(P)CTVp on Slices 103, 118
(P)GTVn on Slices 93, 103

Disabled Contours: All contours disabled
Enabled Contours: None

Resource Files:
- Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 03/07/26 05:13 ASTRO
Viewed: 14 times
Emailed: 0 times
Total Slices: 174
Dose: No
Category: eContouring for Gynecologic: Vaginal and Vulvar – Neil Taunk
Groups : ASTRO Annual Refresher Course Gynecologic March 25-27 2026
Image Modalities: CT
DVH: No
Doctor's Name: Dr. Neil Taunk
Disease Site: Gynecological
Server locations: US, Frankfurt, Singapore

Contoured Structures: (P)CTVn, (P)CTVp, (P)GTVn, PTV 5000, PTV 6400, (P)CTVpboost, (P)PTVn, (P)PTVpboost, (P)GTVp, (P)PTVgrossnodes, BODY, BLADDER, RECTUM, Femur Head L, Femur Head R, 4 more structures...