Surgery for brain metastases

Surgery for brain metastases

The use of surgery in the treatment of brain metastases is controversial. Patients who present certain clinical characteristics may experience prolonged survival with resection compared with radiation therapy. Thus, for patients with a single metastatic lesion in the setting of well-controlled systemic cancer, surgery is highly indicated. Stereotactic radiosurgery (SRS) alone can provide a simi...

Role of surgery in brain metastases.

Brain metastases remain the commonest type of brain tumour, being four times more common than primary brain tumours. Although surgical intervention may be recommended for one of various reasons in the management of these tumours, including but not limited to conformation of diagnosis, relief of mass effect, improvement of neurological status and prolongation of survival, the guidelines for mana...

different fractionation in whole brain irradiation for multiple brain metastases

background : this study compared the efficacy of two commonly used fractionation schedules for palliative whole brain irradiation in patients with brain metastases, and assessed the association of the radiotherapy therapy oncology group (rtog) recursive partitioning analysis for brain metastases (rpa) to survival with each schedule. methods : patients with multiple (more than three) brain metas...

Gamma surgery for melanoma metastases in the brain.

OBJECT The aim of this study was to evaluate the usefulness and limitations of gamma surgery (GS) in the treatment of brain metastases from melanoma. METHODS Imaging and clinical outcomes in 45 patients treated for 92 brain metastases from melanoma between October 1989 and October 1999 were retrospectively analyzed. Follow-up imaging studies were available in 35 patients with 66 treated lesio...

SRS and Gamma Knife® surgery for Brain Metastases