Abstract
Hodgkin lymphoma and primary mediastinal large B cell lymphoma (a form of non-Hodgkin lymphoma) are lymphomas that commonly involve the mediastinum and typically affect adolescents and young adults. Owing to the young age at presentation and excellent cure rates with combined-modality therapy, late effects from treatment can cause significant problems for survivors decades later. Due to the combination of chemotherapy and radiation, patients are at risk for cardiovascular complications and secondary cancers. Proton therapy is a radiation technology that can be used to help reduce the radiation dose to the organs at risk compared with traditional photon radiation. In patients with mediastinal lymphoma, proton therapy can help reduce the radiation dose to the heart, lungs, breast, esophagus, and total body, which is expected to translate into fewer long-term toxicities from radiation. This chapter is an overview of proton planning for mediastinal lymphoma.
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Hoppe, B.S., Flampouri, S., Hill-Kayser, C., Plastaras, J.P. (2018). Mediastinal Lymphoma. In: Lee, N., et al. Target Volume Delineation and Treatment Planning for Particle Therapy. Practical Guides in Radiation Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-42478-1_23
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