Physics Bucharest 2017

Brain metastasis

Surgery

Radiosurgery

Tissue for diagnosis Removes mass immediately Improves local control Retreatment of previously irradiated pts Large lesions can be treated

Minimally invasive No hospitalisation Cost effective Improved local control Treats surgically inaccessible tumors Avoids general anesthesia Only small tumors Longer time to resolve mass effect Limited number of M+?

Advantages

Advantages

Invasive Longer hospital stay Limited to 1-3 M+ Risk of hemorraghe, infection

Clinical indications

Disadavantages

Disadavantages

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