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Rationale and Primary goals:

Provide maximum sparing of heart and coronary arteries – thus

reducing incidence of severe cardiac morbidity and cardiac death

Reduce integral volume of normal tissue exposure to RT, thus

reducing incidence of Second malignancy.

Secondary Goals:

Proton Therapy permits dose coverage of volumes without

compromise – possibly improved local control ??

Improved Quality of Life

Proton Therapy for loco-regionally advanced Breast Cancer