“…In the particular case of chondrosarcoma, in vitro studies showed a higher efficiency of carbon ions on multiple chondrosarcoma cell lines [ 10 , 82 , 101 , 102 ]. The cellular effect was directly connected with the LET of carbon ions, inducing a prolonged block of irradiated cells in the G2 phase of the cell cycle and longer-lasting unrepaired cell damage [ 101 , 103 ]. Carbon ion radiations generated a positive regulation of several DNA repair genes (ATM, NBN, ATXR, XPC, XRCC1/2/3, ERCC1, XPC, and PCNA), activating a large range of DNA repair mechanisms [ 103 ].…”