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Faculty:Magdalena A-SWorkshop Schedule:Polish Society contouring of the Spine March 28-29, 2025Case Description:A 64-year-old patient diagnosed with induced oligoprogression undergoing chemotherapy in the course of disseminated hepatocellular carcinoma.Current imaging studies (CT of the chest, abdomen, and pelvis, 21.11.2024) revealed: -a lesion in liver segment 7 measuring 115 x 97 mm -a lytic area in the Th8 vertebral body with a soft tissue mass (50 x 40 mm) protruding into the spinal canal, causing spinal cord compression - additionally, metastatic bone lesions were described.Follow-up imaging studies showed stabilization compared to previous scans, with regression of some described lesions compared to the CT from 22.08.2023.The patient underwent palliative radiotherapy to the pubic bone on 24.10.2023. Currently receiving Cabozantinib as part of a Drug Program.Since early December 2024, the patient has experienced progressive lower limb weakness. Palliative radiotherapy was performed in December 2024 to the Th8 region (8.0 Gy/1 fx)At the Oncology Board, was proposed a more radical approach to treating the Th8 vertebra, before the planned neurosurgical procedure, while maintaining systemic therapy with Cabozantinib..Contouring homework: Delineate GTV and CTV using planning CT and planning MRIAdditional Resource Files:- EduCase Training Video: How to contour, complete the homework, and save/submit- EduCase User Guide (HTML5 version)- EduCase Metrics Guide (basic)
