Executive summary

This study by MGH retrospectively analyzed 66 patients with unresectable intrahepatic cholangiocarcinoma (ICC) who were treated with hypofractionated proton (32 patients) or photon (34 patients) radiation therapy (HF-RT). Median RT dose was 58.05 Gy, all delivered in 15 daily fractions. The 2-year outcomes were 84% local control (LC) and 58% OS.

On multivariate analysis for OS, compared with photon RT, there was a trend towards improved survival with proton RT (HR 0.50; p = 0.05). This study concluded that HF-RT yields high rates of local control and is an effective modality to optimize biliary control for unresectable/locally recurrent ICC.
 

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