PMID- 32297453 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1524-4741 (Electronic) IS - 1075-122X (Linking) VI - 26 IP - 9 DP - 2020 Sep TI - Acute toxicities after proton beam therapy following breast-conserving surgery for breast cancer: Multi-institutional prospective PCG registry analysis. PG - 1760-1764 LID - 10.1111/tbj.13812 [doi] AB - We investigated adverse events (AEs) and clinical outcomes for proton beam therapy (PBT) after breast-conserving surgery (BCS) for breast cancer. From 2012 to 2016, 82 patients received PBT in the prospective multi-institutional Proton Collaborative Group registry. AEs were recorded prospectively at each institution. Median follow-up was 8.1 months. Median dose was 50.4 Gy in 28 fractions. Most patients received a lumpectomy bed boost (90%) and regional nodal irradiation (RNI)(83%). Six patients (7.3%) experienced grade 3 AEs (5 with dermatitis, 5 with breast pain). Body mass index (BMI) was associated with grade 3 dermatitis (P = .015). Fifty-eight patients (70.7%) experienced grade >/=2 dermatitis. PBT including RNI after BCS is well-tolerated. Elevated BMI is associated with grade 3 dermatitis. CI - (c) 2020 Wiley Periodicals, Inc. FAU - Thorpe, Cameron S AU - Thorpe CS AUID- ORCID: 0000-0003-0564-6540 AD - Department of Radiation Oncology, Mayo Clinic, Phoenix, Arizona. FAU - Niska, Joshua R AU - Niska JR AD - Department of Radiation Oncology, Mayo Clinic, Phoenix, Arizona. FAU - Anderson, Justin D AU - Anderson JD AD - Department of Radiation Oncology, Mayo Clinic, Phoenix, Arizona. FAU - Girardo, Marlene E AU - Girardo ME AD - Health Sciences Research, Division of Biostatistics, Mayo Clinic, Scottsdale, Arizona. FAU - McGee, Lisa A AU - McGee LA AD - Department of Radiation Oncology, Mayo Clinic, Phoenix, Arizona. FAU - Hartsell, William F AU - Hartsell WF AD - Northwestern Medicine Chicago Proton Center, Warrenville, Illinois. FAU - Larson, Gary L AU - Larson GL AD - ProCure Proton Therapy Center, Oklahoma City, Oklahoma. FAU - Tsai, Henry K AU - Tsai HK AD - ProCure Proton Therapy Center, Somerset, New Jersey. FAU - Rossi, Carl J AU - Rossi CJ AD - Scripps Proton Therapy Center, San Diego, California. FAU - Rosen, Lane R AU - Rosen LR AD - Willis-Knighton Proton Therapy Center, Shreveport, Louisiana. FAU - Vargas, Carlos E AU - Vargas CE AD - Department of Radiation Oncology, Mayo Clinic, Phoenix, Arizona. LA - eng PT - Journal Article DEP - 20200415 PL - United States TA - Breast J JT - The breast journal JID - 9505539 SB - IM MH - *Breast Neoplasms/radiotherapy/surgery MH - Female MH - Follow-Up Studies MH - Humans MH - Mastectomy, Segmental MH - Prospective Studies MH - *Proton Therapy/adverse effects MH - Registries OTO - NOTNLM OT - breast cancer OT - breast-conserving therapy OT - proton beam therapy OT - radiation OT - radiation dermatitis EDAT- 2020/04/17 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/04/17 06:00 PHST- 2019/12/27 00:00 [received] PHST- 2020/02/26 00:00 [revised] PHST- 2020/02/27 00:00 [accepted] PHST- 2020/04/17 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/04/17 06:00 [entrez] AID - 10.1111/tbj.13812 [doi] PST - ppublish SO - Breast J. 2020 Sep;26(9):1760-1764. doi: 10.1111/tbj.13812. Epub 2020 Apr 15.