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| Home >Treatable Cancers>Lung Cancer | 
Particle Beam Radiation Therapy for 
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| Beam Type | No. of Fractions | 
| Proton or carbon-ion | 4 or 10 | 
| Applicable Stage | Histological Type | Max. Tumor Diameter | Requirements | Specific  Ineligibility Criteria  | 
          
| T1N0M0 T2N0M0 T3N0M0 T4N0M0  | 
            Gland cancer Squamous cell cancer Large cell carcinoma  | 
            5 cm or less | Peripheral lung cancer, chest wall invasion, Pancoast type lung cancer Lymph node and distant metastases are not acceptable.  | 
            Hilar lung cancer Advanced interstitial pneumonia  | 
          
Download
You can download the referral forms below. These forms should be submitted at the time of consultation.
Left-click on the file link below to download the referral forms. The file will open automatically.
To save the file, right-click and select "Save file."
                              
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| [Word Format(46kB)] [PDF Format(132kB)] | |||||
            
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| [Word Format(45kB)] [PDF Format(132kB)] | |||||
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