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Faculty:TBDWorkshop Schedule:Polish Society contouring of the Spine March 28-29, 2025Case Description:47-year-old female with metastatic BRAF (+) melanoma of the skin (thorax), which has spread to the lungs, liver and bones.Ongoing treatment with nivolumab.Slight increase in lung and liver lesions on CT dated 02.2023. Increasing lytic metastasis in Th1 (thoracic spine) without clear spinal canal involvement: oligoprogression. SINS scale: 5 points.Proposed treatment: SBRT (without surgery) 3x9 GyContouring 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)
Faculty:TBDWorkshop Schedule:Polish Society contouring of the Spine March 28-29, 2025Case Description:65-year-old man with metastatic colorectal cancer, multiple metastases in the liver, periaortic, possibly in the lungs and bones (metastatic lesion in the Th7 vertebral body protruding into the spinal canal and significantly narrowing its lumen, with filling of the L foramen).Proposed treatment: Separative surgery + postoperative SBRT (SIB 5x6/7 Gy)In 05.2023, the Th5-Th9 spine was stabilised and the tumour was removed at the Th7 level - semi-separative surgery.Pain in the thoracic spine region with radiation to the left ribs has decreased, postoperative pain persists.Contouring homework: Delineate 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)
Faculty:TBDWorkshop Schedule:Polish Society contouring of the Spine March 28-29, 2025Case Description:36-year-old female with metastatic breast cancer Left breast cancer cT3N0M0.Status after left mastectomy and reconstruction Status after left axillary lymphadenectomy Status after adjuvant radiotherapy to the left chest wall and lymph nodesStatus after chemotherapy 4xAC+12xPCL/Trastuzumab Status after systemic treatment with adjuvant Trastuzumab until October 2023
MR 07.2024, metastatic lesions of TH9/TH10 with compression of the meningeal sac, narrowing of the foramen intervertebrale
Suggested Treatment: SBRT (3x10 Gy) + spinal surgery
Contouring homework: Delineate 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)
