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

End of talk!