244 / 604
Algoritm for therapy of solitary brain metastasis at AUH
Solitary brain
metastasis
MRI scan
1. Good PS
2. Mass effect or
3. Neurol. deficit or
4. >3-4 cm
5. Unknown primary
Surgical
resection
RT
1. Good PS
2. No mass effect
3. No neurol. deficit
4. <3-4 cm
SRT
Poor performance
status
(or do not fit into two
other arms)
WBRT or
steroids
Addtional factors:
•
Age
•
Performance status
•
Metastasis localization
•
Patient’s preferences
•
Highly chemosensitive
cancers with brain mets
should be treated with
chemotherapy
End of talk!