[Propositions for the selection and the delineation of peritumoral microscopic disease volumes in oral cavity and oropharyngeal cancers (lymph nodes excluded)].
This article reviews the concept of selectivity in peritumoral microscopic disease to be included in the Clinical Target Volume (CTV) for elective treatment for oral cavity and oropharyngeal squamous cell carcinoma, using the local tumoral spread. The objective of the present article is to present a procedure for the delineation of the target volumes, required for an appropriate application of 3-DCRT and IMRT for head and neck cancers. These propositions are for the delineation of microscopic peritumoral target volumes when external beam irradiation is required. CTVs are illustrated on CT sections.
Lapeyre
M
M
Département de radiothérapie, centre Alexis-Vautrin, avenue de Bourgogne, 54511 Vandoeuvre-Lès-Nancy, France. m.lapeyre@nancy.fnclcc.fr
Henrot
P
P
Alfonsi
M
M
Bardet
E
E
Bensadoun
R J
RJ
Dolivet
G
G
Favrel
V
V
Gallocher
O
O
Giraud
P
P
Graff
P
P
Guerif
S
S
Lagarde
P
P
Lartigau
E
E
Marchesi
V
V
Pommier
P
P
Rives
M
M
Tortochaux
J
J
Toussaint
B
B
Verrelle
P
P
Bourhis
J
J
Calais
G
G
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy*; D019583:Dose Fractionation, Radiation; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D009062:Mouth Neoplasms / Q000473:pathology / Q000532:radiotherapy*; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000532:radiotherapy*; D014057:Tomography, X-Ray Computed