Executive summary

This study reported the outcomes of 24 patients with leptomeningeal metastases (LM) treated with proton craniospinal irradiation (CSI). With the median follow-up was 11 months, two patients experienced grade 4 lymphopenia, grade 4 thrombocytopenia, and/or grade 3 fatigue. The median CNS PFS was 7 months and the median OS was 8 months. Four patients (19%) were progression-free in the CNS for more than 12 months. 

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