Brain metastasis and treatment
نویسندگان
چکیده
Despite major therapeutic advances in the management of patients with systemic malignancies, management of brain metastases remains a significant challenge. These patients often require multidisciplinary care that includes surgical resection, radiation therapy, chemotherapy, and targeted therapies. Complex decisions about the sequencing of therapies to control extracranial and intracranial disease require input from neurosurgeons, radiation oncologists, and medical/neuro-oncologists. With advances in understanding of the biology of brain metastases, molecularly defined disease subsets and the advent of targeted therapy as well as immunotherapeutic agents offer promise. Future care of these patients will entail tailoring treatment based on host (performance status and age) and tumor (molecular cytogenetic characteristics, number of metastases, and extracranial disease status) factors. Considerable work involving preclinical models and better clinical trial designs that focus not only on effective control of tumor but also on quality of life and neurocognition needs to be done to improve the outcome of these patients.
منابع مشابه
Salivary Duct Carcinoma with Late Distant Brain and Cutaneous Metastasis: A Case Report
with poor prognosis, rapid growth, distant metastasis, early regional metastasis, and a high rate of recurrence. The parotid gland is the most common site of involvement, and the lungs and the bones are the most common sites of distant metastasis of SDC. Herein, we present a case of SDC of the parotid gland in a 62-year-old male patient with an unusual metastasis to the skin of the primary site...
متن کاملClinical evaluation of simultaneous integrated boost in brain metastasis patients with helical intensity modulated radiotherapy
Background: This study was performed to assess patient survival and treatment toxicity after helical tomotherapy (HT) with simultaneous integrated boost (SIB) radiotherapy (RT) for cancer patients with one to eight brain metastases (BM) who have been treated with or without surgery. Materials and Methods: A total of 48 brain metastasis (BM) patients were included in this retrospective study bet...
متن کاملDosimetric comparison of two different whole brain radiotherapy techniques in patients with brain metastases: How to decrease lens dose?
Background: Palliative whole brain radiotherapy (WBRT) has been the standard treatment for brain metastases. Ionizing radiation is known to be one of the most potent cataractogenic agents. We aimed to evaluate two different radiotherapy techniques with respect to the doses received by the organs at risk (OAR) in patients with brain metastasis who undergone WBRT. Materials and Methods: Ten conse...
متن کاملCancer metastasis at a glance: A brief view of Breast Cancer Brain Metastasis
Cancer initiation and progression is a challenging scenario through developmental processes, which may be more complicated by occurrence of metastasis. Basically, diverse genetic alterations, including mutations, formation of truncated proteins and related pathways play key roles either in diagnosis or the most influential therapeutic purposes. ...
متن کاملگزارش یک مورد نادر بروز اولیه سارکوم آلوئولار بافت نرم با متاستاز به مخچه
Introduction: Alveolar soft part sarcoma is a malignant soft tissue tumor whose metastasis to other organs like lung and brain as a primary presented symptom is not unusual. In the literature there are many reports of metastasis to different parts of brain, but cerebellar metastasis has not been reported yet. In this case study, we discuss a rare occurrence of simultaneous metastasis to bra...
متن کاملModeling Leukemia in Children Using Phase-type Distribution
Background: In this study, with the aim of modeling Leukemia in children using Phase-type distribution, three transitional phases including diagnosis, brain metastasis and testis/ovary metastasis, and one absorotion phase of recovery/death have been considered. The distribution was fitted and the probabilities of death or recovery were determined based on the independent variab...
متن کامل