@article{oai:repo.qst.go.jp:00045839, author = {Fujita, Hiroyuki and Wada, Hidefumi and Yasumura, Kazunori and Kamada, Tadashi and Ikezawa, Zenro and et.al and 鎌田 正}, issue = {3}, journal = {European Journal of Dermatology}, month = {Mar}, note = {A 31-year-old Japanese man noticed a hemorrhagic black nodule on his right thigh and underwent surgical excision in January 2005. Histopathology showed a melanoma with negative margin (tumor thickness 9 mm) and he was referred to our clinic for additional treatment. As far as the technique is concerned, to provide the best conditions for every patient, carbon ion radiation systems are as follows. First, the beam is spread by electromagnets and panelized by scattering. To adjust the Bragg peak to the tumor size, it is subsequently extended by ridge filters and tuned finely by a range shifter. Finally, the beam is shaped to fit the tumor by a collimator and passes through the bolus which is fitted to the distal end of tumor. In this case, we chose carbon ion radiotherapy for lymph node metastatic melanoma subsequent to operation and chemotherapy. Although carbon ion radiotherapy succeeded at local control, distant metastasis occurred during the therapy. Therefore, we hope that carbon ion radiotherapy will come to be widely recognized by dermatologists as one treatment option and that combination therapy including carbon ion radiotherapy will someday overcome melanoma.}, pages = {277--278}, title = {Treatment of lymph node metastatic melanoma with carbon ion radiotherapy}, volume = {19}, year = {2009} }