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Particle Beam Radiation Therapy for
Lung Cancer

Non-small Cell Lung Cancer Treatment Criteria Overview


  • The indication for particle beam radiation therapy is a primary peripheral non-small cell lung cancer that was pathologically diagnosed by bronchoscopic biopsy, cytology, CT-guided biopsy and sputum cytology.
  • In order to search for lymph node metastasis and distant metastasis, the patient needs to have an FDG-PET scan.

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."


□  Particle Beam Radiation Therapy Referral Fax Form
Peripheral Lung Cancer (Stage I) Check Items/Test Items
[Word Format(46kB)]   [PDF Format(132kB)]

□  Particle Beam Radiation Therapy Referral Fax Form
Chest Wall Invasion/Pancoast Type Lung Cancer Check Items/Test Items
[Word Format(45kB)]   [PDF Format(132kB)]


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 Tatsuno-shi,
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