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Proton Therapy Lowers Risk of Later Cancers

By MedImaging International staff writers
Posted on 20 Oct 2008

Patients who are treated with proton therapy (a specialized type of external beam radiation therapy using protons rather than X-rays to treat cancer) have a decreased risk of developing a secondary cancer by two-fold, compared to being treated with conventional photon radiation treatment, according to a first-of-its-kind study.

This study, presented September 22, 2008, at the American Society for Therapeutic Radiology and Oncology's 50th annual meeting in Boston, MA, USA, contradicts recent hypotheses that have suggested that proton radiation might actually increase--instead of decrease--the incidence of secondary cancers because of what is called scatter radiation. When proton radiation is delivered, neutrons are produced by nuclear interactions and are therefore scattered as a result.

"This study could have a substantial impact on the care of patients,” said Nancy Tarbell, M.D., senior author of the study and a radiation oncologist at the Massachusetts General Hospital (MGH; Boston, MA, USA). "Since cancer patients are surviving for longer periods of time, side effects of therapy are becoming increasingly important for doctors to consider when developing treatment plans. Since this is a retrospective study, however, we will need additional studies to further prove this hypothesis.”

Photon radiation is the standard external beam radiation-therapy treatment, whereas proton radiation is a more targeted form of external beam radiation that delivers less radiation to bordering normal structures. During external beam radiation therapy, a beam of radiation is directed through the skin to the cancer and the immediate surrounding area in order to destroy the main tumor and any neighboring cancer cells.

The retrospective cohort study matched 503 patients who underwent Harvard (Cambridge, MA, USA) Cyclotron proton radiation treatment with 1,591 patients treated with photon radiation therapy from the Surveillance, Epidemiology, and End Results (SEER) cancer registry from 1974 to 2001. According to the study, 6.4% of patients who underwent proton therapy developed a secondary cancer while 12.8% of patients who had photon treatment developed another type of cancer.

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67 (!!!!! 1458.1680297852): select jos_twitters.link from jos_twitters where cat=10

68 (319.00405883789): select jos_facebook.link from jos_facebook where cat=10

69 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

70 (231.02760314941): select jos_linkedin.link from jos_linkedin where cat=10

71 (504.0168762207): SELECT fid FROM jos_deeppockets WHERE id=294720715 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720715 AND published='1' LIMIT 1

72 (582.93342590332): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

73 (!!!!! 3957.0331573486): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 1474.8573303223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 2466.9170379639): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

76 (!!!!! 4713.0584716797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (136.8522644043): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (591.99333190918): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (238.89541625977): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (550.98533630371): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (136.13700866699): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (537.87231445312): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (!!!!! 1725.9120941162): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (226.97448730469): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 2406.120300293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (492.09594726562): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (!!!!! 1321.0773468018): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

93 (209.80834960938): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (682.11555480957): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (108.00361633301): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (265.83671569824): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (319.9577331543): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

108 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

109 (54.121017456055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (430.10711669922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

112 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

113 (!!!!! 6722.9270935059): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 1680.1357269287): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (567.91305541992): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

116 (386.95335388184): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

118 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

119 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

120 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

121 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

122 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

123 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

124 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

125 (276.08871459961): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 44158.220291138): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

127 (774.86038208008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720715 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720715 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (383.85391235352): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

129 (287.05596923828): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (164.03198242188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (197.17216491699): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

132 (256.06155395508): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (135.89859008789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (163.07830810547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (693.08280944824): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

136 (157.83309936523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (202.89421081543): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

138 (537.15705871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (354.05158996582): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (113.96408081055): SELECT name FROM jos_deeppockets WHERE id=213

141 (82.015991210938): SELECT name FROM jos_deeppockets WHERE id=213

142 (707.14950561523): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (940.08445739746): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

145 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

146 (!!!!! 16618.013381958): TRUNCATE TABLE jos_trademed_module

147 (265.12145996094): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (403.88107299805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294720715 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (825.16670227051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

152 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

153 (!!!!! 1351.1180877686): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

154 (668.04885864258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

155 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

156 (88.930130004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720715 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720715 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (46.968460083008): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

158 (61.988830566406): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

159 (!!!!! 4455.8048248291): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (!!!!! 1756.9065093994): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

161 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720715 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720715 AND published='1' LIMIT 1

162 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

163 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

164 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

165 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

166 (277.04238891602): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1020.1930999756): insert into jos_banners_delta values (14615,'2025-08-24 01:59:16','216.73.216.171','view'),(14202,'2025-08-24 01:59:16','216.73.216.171','view'),(14203,'2025-08-24 01:59:16','216.73.216.171','view')

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