Table 1.
Anatomic borders of CTV for chest wall and regional nodes
Structures | Cranial | Caudal | Anterior | Posterior | Lateral | Medial |
---|---|---|---|---|---|---|
Chest wall |
Caudal border of the clavicle head |
Contralateral inframammary fold |
2 mm below the skin surface |
Rib-pleural interface |
Mid-axillary line |
Sternal-rib junction |
Supra-clavicular |
Caudal to the cricoid cartilage |
Junction of brachioecph.- axillary veins/caudal edge clavicle head |
Posterior edge of SCM muscle |
Anterior aspect of the scalene muscle |
Cranial: lateral edge of SCM muscle |
Excludes thyroid and trachea |
Caudal: junction 1st rib-clavicle | ||||||
Infra-clavicular |
Pectoralis minor muscle insert on coracoid |
Axillary vessels cross medial edge of pectoralis minor muscle |
Posterior surface of pectoralis major muscle |
Ribs and intercostal muscles |
Medial border of pectoralis minor muscle |
Thoracic inlet |
Internal mammary | Superior aspect of the medial 1st rib. | Cranial aspect of the 4th rib | Encompass the internal mammary vessels | Encompass the internal mammary vessels | Encompass the internal mammary vessels | Encompass the internal mammary vessels |
Abbreviations: SCM= sternocleidomastoid.