NHS England Clinical Indications for Proton Therapy:

Adult Indications 

Base of Skull and Spinal Chordoma 

Base of Skull Chondrosarcoma 

Spinal and Paraspinal Bone and Soft Tissue Sarcomas (Non Ewing’s) 

Ocular melanomas

​

Paediatric Indications 

Base of Skull and Spinal Chordoma 

Base of Skull Chondrosarcoma 

Spinal and Paraspinal “adult type” Bone and Soft Tissue Sarcomas 

Rhabdomyosarcoma - Orbit 

- Parameningeal and Head and Neck - Pelvis 

Ependymoma 

Ewing’s Sarcoma 

Retinoblastoma 

Optic Pathway and other selected Low Grade Glioma 

Craniopharyngioma 

Pineal Parenchymal Tumours (not Pineoblastoma) 

Esthesioneuroblastoma 

​

PTCOG clinical indications for Proton Therapy:

Ocular melanomas

CNS tumours-Menigiomnas, Gliomas

Head and Neck cancers-Nasopharynx, paranasal sinus Oropharynx & parotid tumours

Base of Skull tumours

Spinal/paraspinal sarcomas

Thoracic Lymphomas

Inoperable lung cancers

Re-irradiation for recurrent cancer

Left sided breast cancer

Prostate cancer with lymph nodes

Complex recurrent GI cancers

Hepatocellular cancer

​

​

​

​