Table 1.
RTOG Consensus CTV Guidelines
Location | Anatomical border | |
---|---|---|
Below superior edge of pubic symphysis | Above superior edge of pubic symphysis | |
Anterior | Posterior edge of pubic bone | Posterior 1-2 cm of bladder wall |
Posterior | Anterior rectal wall (may need to be concave around lateral aspects) | Mesorectal fascia |
Lateral | Levator ani muscles, obturator internus | Sacrorectogenitopubic fascia (if concern about extraprostatic disease at base may extend to obturator internus) |
Inferior | 8-12 mm below vesicourethral anastomosis (may include more if concern for apical margin. Can extend to slice above penile bulb if vesicourethral anastomosis not well visualized) | N/A |
Superior | N/A | Level of cut end of vas deferens or 3-4 cm above top of symphysis (Vas may retract postoperatively; include seminal vesicle remnants if pathologically involved) |