Intracerebral metastases surgery: Difference between revisions
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===Stereotactic Radiosurgery=== | ===Stereotactic Radiosurgery=== | ||
*Stereotactic radiosurgery | *Stereotactic radiosurgery (SRS) delivers a single high dose of irradiation to the target volume while avoiding the surrounding normal tissues.<ref name="OwenSouhami2014">{{cite journal|last1=Owen|first1=Scott|last2=Souhami|first2=Luis|title=The Management of Brain Metastases in Non-Small Cell Lung Cancer|journal=Frontiers in Oncology|volume=4|year=2014|issn=2234-943X|doi=10.3389/fonc.2014.00248}}</ref> | ||
*This therapy aims | *This therapy aims small beams of radiation from different directions at the tissue to be treated. | ||
*It can direct the beams with precision to lessen the radiation to surrounding tissues, hence it causes less damage to healthy tissue than whole brain radiation therapy. | *It can direct the beams with precision to lessen the radiation to surrounding tissues, hence it causes less damage to healthy tissue than whole brain radiation therapy. | ||
*A single large dose of radiation is given. | *A single large dose of radiation is given. | ||
Revision as of 18:53, 16 November 2015
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Intracerebral metastases Microchapters |
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Differentiating Intracerebral Metastases from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Intracerebral metastases surgery On the Web |
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American Roentgen Ray Society Images of Intracerebral metastases surgery |
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Risk calculators and risk factors for Intracerebral metastases surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Surgery is not the first-line treatment option for patients with intracerebral metastases. Surgical resection is usually reserved for patients with either a solitary brain metastasis or no extracranial spread of the primary tumor. Sterotactic radiosurgery is indicated if there are multiple (<3) but small metastatic tumor masses.[1]
Surgery
Surgical Resection
Surgery is not the first-line treatment option for patients with intracerebral metastases. Surgical resection is usually reserved for patients with either:[1]
- Solitary brain metastasis
- No extracranial spread of the primary
The role of surgery in treatment of intracerebral metastases include:[1]
- Reduction of the size of the tumor as much as possible (debulking), if the metastasis is deep or is growing into the brain tissue and causing problems
- Reduction of the intracranial pressure
- Relief from the symptoms, if a brain metastasis cannot be completely resected
Stereotactic Radiosurgery
- Stereotactic radiosurgery (SRS) delivers a single high dose of irradiation to the target volume while avoiding the surrounding normal tissues.[2]
- This therapy aims small beams of radiation from different directions at the tissue to be treated.
- It can direct the beams with precision to lessen the radiation to surrounding tissues, hence it causes less damage to healthy tissue than whole brain radiation therapy.
- A single large dose of radiation is given.
- Indications for stereotactic radiation therapy include:[3]
- One or a few metastatic brain tumors
- Used to treat people with upto 3 small-sized metastatic brain tumors
- Alone or in combination with whole brain radiation therapy (WBRT)
- Progressive or recurrent brain metastases
- Stereotactic radiotherapy may be given after the person has had whole brain radiation therapy
References
- ↑ 1.0 1.1 1.2 Surgery of brain metastases. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/metastatic-cancer/brain-metastases/treatment/?region=on. Accessed on November 13, 2015
- ↑ Owen, Scott; Souhami, Luis (2014). "The Management of Brain Metastases in Non-Small Cell Lung Cancer". Frontiers in Oncology. 4. doi:10.3389/fonc.2014.00248. ISSN 2234-943X.
- ↑ Sterotactic radiation therapy for brain metastases. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/metastatic-cancer/brain-metastases/treatment/?region=on. Accessed on November 13, 2015