Modern Strategies for Treatment of Patients With Brain Metastases

Abstract

Brain metastases are the most common intracranial malignancy accounting for significant morbidity and mortality in cancer patients. The current treatment paradigm for brain metastasis depends on patient’s overall health status, the primary tumor pathology and the number and location of brain lesions. Treatment of brain metastases should be individualized for each patient: in case of single brain metastasis surgery or radiosurgery should be considered as first options of treatment; in case of multiple lesions whole-brain radiotherapy is the standard of care in association with systemic therapy or surgery/radiosurgery. Herein, we review the modern management options for these tumors including surgical resection, radiotherapy. In the last decades TKIs or monoclonal antibodies have showed an increase in overall response rate and overall survival in Phase II-III trials. The aim of this paper is to make an overview of the current approaches in management of patients with brain metastases.

Staged radiosurgery in the managment of patients with brain metastases

“…В последнее время для лечения МГМ стали чаще применять стереотаксическую радиохирургию (РХ) и стереотаксическую радиотерапию (СРТ), а также их комбинации с традиционными методиками лечения: хирургией, ОВГМ, лекарственной терапией [7][8][9].…”