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Protons ?
• Proximity of esophagus, lungs, and heart
&
• Operative procedure in the chest after CRT
Dosimetric advantage:
Decreasing doses to surrounding areas may prove clinically
advantageous in terms of overall toxicities and postoperative
complications
Chuong, M.D.; Hallemeier, C.L.; Jabbour, S.K.; Yu, J.; Badiyan, S.; Merrell, K.W.; Mishra, M.V.; Li, H.;
Verma, V.; Lin, S.H. Improving outcomes for esophageal cancer using proton beam therapy. Int. J. Radiat.
Oncol. Biol. Phys.
2016
, 95, 488–497.