Executive summary

This study analyzed 50 patients received PBT reRT for breast cancer in the prospective Proton Collaborative Group (PCG) registry. Median reRT dose was 55.1 Gy and median cumulative dose was 110.6 Gy (70.6-156.8). ReRT included regional nodes in 84% (66% internal mammary node [IMN]).

Grade 3 AEs were experienced by 16% of patients (10% acute, 8% late). All grade 3 AEs occurred in patients receiving IMN reRT (P = 0.08). At 1 year, LRFS was 93%, and OS was 97%. This study concluded that PBT reRT is well tolerated with favorable local control. Toxicity was acceptable despite median cumulative dose > 110 Gy

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