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Patient:

R.R. 14 y.o. female; Stage IIIA nodular sclerosing Hodgkin’s Disease

Dose: 1.8 Gy(RBE) per fraction x 12 to 21.6 Gy(RBE)

Except scatter no dose to breast

tissues by use of posterior field

design

Second Malignancy Induction: Avoidance of Breast Dose with

proton therapy for mediastinal malignancies