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1.
Cancer Radiother ; 25(2): 200-205, 2021 Apr.
Article in French | MEDLINE | ID: mdl-33546996

ABSTRACT

It is proposed to delineate the anatomo-clinical target volumes of primary tumor (CTV-P) in ethmoid cancers treated with post-operative radiotherapy. This concept is based on the use of radioanatomy and the natural history of cancer. It is supported by the repositioning of the planning scanner with preoperative imaging for the replacement of the initial GTV and the creation of margins around it extended to the microscopic risk zones according to the anatomical concept. This article does not discuss the indications of external radiotherapy but specifies the volumes to be delineated if radiotherapy is considered.


Subject(s)
Ethmoid Bone , Radiotherapy Planning, Computer-Assisted/methods , Skull Neoplasms/radiotherapy , Ethmoid Bone/anatomy & histology , Ethmoid Bone/diagnostic imaging , Humans , Magnetic Resonance Imaging , Postoperative Care/methods , Skull Neoplasms/diagnostic imaging , Skull Neoplasms/surgery , Tomography, X-Ray Computed
2.
Cancer Radiother ; 23(5): 416-422, 2019 Sep.
Article in French | MEDLINE | ID: mdl-31421998

ABSTRACT

This article provides a proposal for the selection and delineation of clinical target volumes for the treatment with radiation of submandibular glands tumours. This article does not deal with external radiotherapy indications but specifies the volumes to be treated if radiotherapy is chosen. High-risk and low-risk peritumoral clinical target volumes are described based on the probability of local tumoral spread. High-risk and low-risk clinical target volumes are illustrated on CT-scan slices. A proposal for the selection of nodal clinical target volumeis also proposed.


Subject(s)
Radiotherapy Planning, Computer-Assisted/methods , Submandibular Gland Neoplasms/radiotherapy , Humans , Lymphatic Irradiation/methods , Magnetic Resonance Imaging , Neoplasm Invasiveness , Organ Size , Radiotherapy Dosage , Risk , Submandibular Gland Neoplasms/diagnostic imaging , Submandibular Gland Neoplasms/pathology , Tomography, X-Ray Computed , Tumor Burden
4.
Cancer Radiother ; 23(3): 255-263, 2019 Jun.
Article in French | MEDLINE | ID: mdl-31101541

ABSTRACT

Salivary glands tumours are uncommon tumours showing a large diversity of histological types. This article presents a synthesis of patterns and paths of invasion of parotid glands tumours in order to propose an approach of the delineation of primary tumour clinical target volumes and of the selection of lymph nodes target volumes. This article does not discuss treatment indications but defines clinical target volumes to treat if radiotherapy is indicated. Postoperative situation being the most frequent, the delineation of primary tumour clinical target volume is based on an anatomical approach.


Subject(s)
Parotid Neoplasms/diagnostic imaging , Parotid Neoplasms/radiotherapy , Humans , Lymphatic Metastasis , Neck , Parotid Neoplasms/pathology , Radiotherapy/methods
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