Conditions We Treat with Proton Therapy

Although proton therapy is very similar to conventional radiotherapy and can be used to treat almost any cancers, the high cost of treatment means that we are required to use proton for patients who will benefit most from it. Currently, proton therapy may be appropriate for some patients for the following conditions on the current MOH-approved list of indications:

List of conditions

Brain Tumours

For all patients
➢ Ependymoma
➢ Pituitary adenoma
➢ Acoustic neuroma
➢ Base of skull meningioma
➢ Locally advanced cancers undergoing concurrent chemoradiation therapy

For patients younger than 25 years old
➢ Retinoblastoma
➢ Medulloblastoma
➢ Chordoma/ chondrosarcoma base of skull or spine
➢ Ependymoma
➢ Craniopharyngioma
➢ Intracranial germ cell tumour
➢ Primitive neuroectodermal tumours
➢ Esthesioneuroblastoma
➢ Neuroblastoma
➢ Pineal parenchymal tumours (not pineoblastoma)
➢ Glioma

Click here to learn more about brain tumours.

Head and Neck Cancers

➢ Advanced (e.g., T4) and/or unresectable head and neck cancers
➢ Oropharyngeal cancer
➢ Cancers of the paranasal sinuses and other accessory sinuses
➢ Salivary gland cancer for patients younger than 25 years old
➢ Locally advanced cancers undergoing concurrent chemoradiation therapy

Click here to learn more about head and neck cancers.

Digestive Tract Cancers

➢ Oesophageal cancer
➢ Advanced high risk inoperable hepatocellular carcinoma
➢ Locally advanced cancers undergoing concurrent chemoradiation therapy

Click here to learn more about digestive tract cancers.

Bone and Soft Tissue Cancers

For all patients
➢ Base of skull chordoma
➢ Base of skull chondrosarcoma
➢ Spinal and paraspinal bone and soft tissue sarcoma
➢ Non-metastatic retroperitoneal sarcomas
➢ Locally advanced cancers undergoing concurrent chemoradiation therapy

For patients younger than 25 years old
➢ Ewing sarcoma
➢ Spinal/ paraspinal bone and soft tissue sarcoma
➢ Rhabdomyosarcoma: orbit, parameningeal, head and neck, pelvis
➢ Pelvic sarcoma
➢ Osteosarcoma

Click here to learn more about vbone and soft tissue cancers.

Prostate Cancer

➢ Locally advanced cancers undergoing concurrent chemoradiation therapy

Click here to learn more about prostate cancer.

Lymphoma

➢ Localised follicular lymphoma

Click here to learn more about lymphoma.

Childhood Cancers

• Central and peripheral nervous system
➢ Retinoblastoma
➢ Medulloblastoma
➢ Chordoma/ chondrosarcoma base of skull or spine
➢ Ependymoma
➢ Craniopharyngioma
➢ Intracranial germ cell tumour
➢ Primitive neuroectodermal tumours
➢ Esthesioneuroblastoma
➢ Neuroblastoma
➢ Pineal parenchymal tumours (not pineoblastoma)
➢ Glioma

Click here to learn more about childhood cancers.

• Musculoskeletal
➢ Ewing sarcoma
➢ Spinal/ paraspinal bone and soft tissue sarcoma
➢ Rhabdomyosarcoma: orbit, parameningeal, head and neck, pelvis
➢ Pelvic sarcoma
➢ Osteosarcoma

Click here to learn more about musculoskeletal tumours.

• Salivary gland cancer

Click here to learn more about salivary gland tumours.