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When using traditional photon and electron radiation methods to treat breast cancer, avoiding dose to the heart and lungs while maintaining an effective dose to the target area is a challenge. With proton therapy, the dose to the target tissue can be optimized and the surrounding tissue can be spared, reducing cardiac and pulmonary toxic effects1 and improving the quality of life of the patient2. Proton therapy is well suited for patients with advanced disease3, cardiac disease. Proton therapy is an option for patients who underwent mastectomy with implant-based breast construction4,5.