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A Guide for Delineation of Lymph Nodal Clinical Target by Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi,

By Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, Annamaria Vinciguerra

This e-book will facilitate the certainty of cross-sectional anatomy information and support radiation oncologists within the tough job of an in depth delineation of lymph node objectives in a number of anatomical locations.

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Inferior gluteal lymph nodes Group 7. Hypogastric lymph nodes (internal iliac) •• Groups 8 and 9. Presacral lymph nodes While these studies played a key role for the understanding of the lymphatic pathways of ovarian tumors, this classification was not widely adopted. In 1992 a study was published on pelvic and para- aortic lymph node dissection in patients affected by gynecological tumors, in order to evaluate the number of nodes present in each lymph node group and review existing nomenclature [65].

Vesselsc Post. edge of the sternocleidomastoid m. Anterolateral border of the trapezius m.  a. Medial edges of Skin; platysma m. thyroid gland, skin and anteromedial edge of sternocleidomastoid m. Separation between trachea and esophaguse RP Base of skull Cranial edge of the body of hyoid bone Midline Medial edge of int. Fascia under carotid artery the pharyngeal mucosa Prevertebral m. (longus colli, longus capitis) Anterior Posterior Body of hyoid boneb Posterior edge of submandibular gland a Midline structure lying between the medial borders of the anterior bellies of the digastric muscles The insertion of the thyroid muscle is often interposed between level Ia and the body of the hyoid bone c For NPC, the reader is referred to the original description of the UICC/AJCC 1997 edition of the Ho’s triangle.

In essence, the fatty planes below and around the clavicle down to the trapezius muscle d For paratracheal and recurrent nodes, the cranial border is the caudal edge of the cricoid cartilage e For pretracheal nodes, trachea and anterior edge of cricoid cartilage b Source: Modified from Gregoire V, Levendag P, Ang KK, et al. (2003) [78] 31 A Guide for D elineation of Lymph Nodal Clinical Target Volume in R adiation Therapy Subsequently, Cymbalista [81] illustrated Mountain’s classification on CT, to help radiologists familiarize themselves with the new classification of the regional lymph nodes involved in lung cancer.

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