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Conclusion

Proton therapy offers a CHANCE

for improved sparing of

normal tissue (or dose intensification)

Advantage greater

for large target volumes, in high doses

and in very young

Increasing role in children

worldwide

Experiences in on-CNS tumours:

mainly Sarcomas

, …

Increasingly

neuroblastomas, nephroblastomas,

lymphomas

To be implemented into

multidisciplinary framework/trials

(SIOP, GPOH…)

Increasing capacity in Europe and elsewhere

At WPE/Essen particular focus on children

Data

on PT (as on any other technique!) to be collected and

evaluated (toxicity/TU but also QoL & neuropsych.)