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==Case 01: Intact vulvar cancer with bulky inguinal nodes==

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
Doctor's Name: Dr. Neil Taunk
Disease Site: Gynecological
Server locations: US, Frankfurt, Singapore
Post-operative endometrial cancer

Workshop:
ASTRO E-contouring GYN webinar

Faculty:
Dr. Scott Silva

Case Description:
This case explores adjuvant external beam radiation therapy (EBRT) in a woman with FIGO stage II endometrioid adenocarcinoma. This will include a discussion of which endometrial cancer patients require EBRT alone versus EBRT + systemic therapy versus vaginal cuff brachytherapy versus close observation after hysterectomy. The objective of this case is to identify appropriate nodal target volumes and organs at risk (OARs) for patients who require EBRT after hysterectomy for endometrial cancer.
 
Homework:
Contour the ITV_4500 at the level of S2
Contour the ITV_4500 at the most inferior extent of the external iliac lymph nodes
Contour the rectum at the level of S5

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: 09/03/25 20:00 ASTRO
Viewed: 4 times
Emailed: 0 times
Total Slices: 204
Dose: No
Category: VL_2025_GYN
Groups : VL_2025_GYN
Image Modalities: CT
DVH: No
Doctor's Name: Dr. Scott Silva
Disease Site: Gynecological
Server locations: US, Canada, Singapore
Post-operative endometrial cancer

Workshop:
ASTRO eContouring for Gynecologic webinar July 30, 2025

Faculty:
Dr. Scott Silva

Case Description:
This case explores adjuvant external beam radiation therapy (EBRT) in a woman with FIGO stage II endometrioid adenocarcinoma. This will include a discussion of which endometrial cancer patients require EBRT alone versus EBRT + systemic therapy versus vaginal cuff brachytherapy versus close observation after hysterectomy. The objective of this case is to identify appropriate nodal target volumes and organs at risk (OARs) for patients who require EBRT after hysterectomy for endometrial cancer.
 
Homework:
Contour the ITV_4500 at the level of S2
Contour the ITV_4500 at the most inferior extent of the external iliac lymph nodes
Contour the rectum at the level of S5

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: 06/20/25 07:57 ASTRO
Viewed: 35 times
Emailed: 0 times
Total Slices: 204
Dose: No
Doctor's Name: Dr. Scott Silva
Disease Site: Gynecological
Server locations: US, Canada, Singapore