Proton-based chemoradiation for synchronous bilateral non-small-cell lung cancers: A case report

Abstract

In this case report, we present the history and treatment of a 70-year-old man with synchronous bilateral non-small-cell lung cancers with proton-beam radiation. Surgical treatment was not feasible and optimized photon intensity-modulated radiotherapy (IMRT) to the primary tumors would have resulted in unacceptably high normal-tissue exposures. Proton-beam radiation enabled radiation dose escalation and concurrent chemotherapy while maintaining normal-tissue tolerance. © 2012 Tianjin Lung Cancer Institute and Wiley Publishing Asia Pty Ltd.