Chapter III: Conditions for setting up certain healthcare activities and heavy equipment

The cancer treatment activity mentioned in 18° of article R. 6122-25 consists of treating malignant solid tumours or haematological malignancies. This treatment is medical, surgical, or carried out by external radiotherapy or brachytherapy.

Authorisation for a cancer treatment activity is granted for one or more of the following procedures: 1° Oncological surgery; 2° External radiotherapy, brachytherapy; 3° Systemic medicinal treatments for cancer.

Oncological surgery is a curative treatment of a cancerous tumour carried out in an interventional sector. It includes conservative surgery, lymph node dissection, radical surgery, macroscopically complete tumour resection in the case of peritoneal carcinosis, surgery to treat metastases, non-percutaneous tumour destruction techniques, immediate reconstruction surgery performed at the same time as the resection, and recurrence surgery.

The “Oncological surgery” modality comprises the following entries: I.-Category A providing oncology surgery in adults for one or more of the following seven tumour locations, mentioned in the authorisation, and excluding complex surgery mentioned in category B: 1° A1: Visceral and digestive oncology surgery; 2° A2: Thoracic oncology surgery; 3° A3: Otorhinolaryngeal, cervicofacial and maxillofacial oncological surgery, including thyroid cancer surgery; 4° A4 : Urological oncological surgery; 5° A5 :…

External radiotherapy is a cancer treatment method that uses ionising radiation to destroy cancer cells using rays produced by a linear particle accelerator, while sparing peripheral healthy tissue as much as possible with the aid of an imaging device. Brachytherapy is a radiotherapy technique in which sealed radioactive sources are implanted inside the body of a cancer patient, either directly into the tumour or in contact with it.