Palliative care 2016
Algoritm for therapy of solitary brain metastasis at AUH
Solitary brain metastasis
Addtional factors: • Age • Performance status • Metastasis localization • Patient’s preferences • Highly chemosensitive cancers with brain mets should be treated with chemotherapy
MRI scan
1. Good PS 2. Mass effect or 3. Neurol. deficit or 4. >3-4 cm 5. Unknown primary
1. Good PS 2. No mass effect 3. No neurol. deficit 4. <3-4 cm
Poor performance status (or do not fit into two other arms)
Surgical resection
WBRT or steroids
SRT
RT
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