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Phase I/II dose escalation trial 2004-2008

Preoperative C-ion RT for resectable SCC

Thirty-one patients with stages I–IVa

Dose of CRT was escalated from 28.8 to 36.8 GyE in 8

fractions over 2 weeks

Low toxicity: 1 patient: G3 respiratory distress

5-year overall survival rates for stages I, II, and III were

61, 77, and 29 %, respectively

5-year cause-specific survival: 71 %

Carbon ion therapy (NIRS)