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Recurrent endometrial cancer in para-aortic lymph nodes

Workshop:
ASTRO eContouring for Gynecologic webinar July 30, 2025

Faculty:
Dr. Scott Silva

Case Description:
This Case will delve into the use salvage EBRT for a patient with a diagnosis of FIGO IIIC1 endometrioid adenocarcinoma previously treated with pelvic IMRT now requiring salvage para-aortic EBRT area after developing biopsy-proven recurrent disease in the para-aortic lymph nodes. With an overall objective of how to treat non-metastatic recurrent disease, this case will include a discussion of how to identify para-aortic nodal disease recurrences and the duodenum. Additionally, this case will describe when to treat with conventionally fractionated EBRT versus SBRT for para-aortic nodal recurrences.
 
Homework:
Contour the most inferior slice of the CTV_4500
Contour the CTV_4500 at the level of the third section of the duodenum
Contour the transverse duodenum
Contour the PET-avid RIGHT retrocrural lymph nod

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: 06/13/25 12:33 ASTRO
Viewed: 19 times
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Total Slices: 180
Dose: No
Doctor's Name: Dr. Scott Silva
Disease Site: Gynecological
Server locations: US, Singapore