Purpose: We analyzed results of conformal proton radiation therapy for localized prostate cancer, with emphasis on biochemical freedom from relapse.

Methods And Materials: Analyses were performed for 1255 patients treated between October 1991 and December 1997. Outcomes were measured on primarily in terms of biochemical relapse and toxicity.

Results: The overall biochemical disease-free survival rate was 73%, and was 90% in patients with initial PSA
Conclusions: Conformal proton radiation therapy at the reported dose levels yielded disease-free survival rates comparable with other forms of local therapy, and with minimal morbidity. Dose-escalation strategies are being implemented to further improve long-term results.

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http://dx.doi.org/10.1016/j.ijrobp.2003.10.011DOI Listing

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