A Case Study: Proton Therapy for Male Breast Cancer with Previous Irradiation

This is a case report of a male patient with previous radiation for a thymic carcinoma (20 years ago) who presented with a left breast cancer. He underwent a partial mastectomy followed by proton radiation therapy with a dose of 5040 cGy to the whole breast in 28 fractions with simultaneous boost to 5800 cGy to the lumpectomy cavity. Proton beam therapy was used instead of conventional photon radiation therapy to spare the heart and lung and to avoid any previously irradiated areas. This study describes the technique and comparative dosimetry for this case.