title: Novel applications of proton therapy in breast carcinoma.
abstract: This review will focus on the indications, clinical experience, and technical considerations of proton beam radiation therapy in the treatment of patients with breast cancer. For patients with early stage disease, proton therapy delivers less dose to non-target breast tissue for patients receiving partial breast irradiation (PBI) therapy, which may result in improved cosmesis but requires further investigation. For patients with locally advanced breast cancer requiring treatment to the regional lymph nodes, proton therapy allows for an improved dosimetric profile compared with conventional photon and electron techniques. Early clinical results demonstrate acceptable toxicity. The possible reduction in cardiopulmonary events as a result of reduced dose to organs at risk will be tested in a randomized control trial of protons vs. photons.
authors: Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA. cuaronj@mskcc.org.
authors: John J
authors: JJ
authors: Cuaron
authors: Massachusetts General Hospital, Francis H. Burr Proton Therapy Center, Boston, MA 02114-7250, USA.
authors: Shannon M
authors: SM
authors: MacDonald
authors: Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
authors: Oren
authors: O
authors: Cahlon
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D061766:Proton Therapy / Q000379:methods*
keywords: Protons; breast cancer; indications; technique