Conclusion:
WBRT or Local treatment
•
No significant difference in
Local control in
patients who get
WBRT or local treatment ~80% within the first year
•
Increased number of distant failures in Patients without WBRT
(statistically not significant)
•
Minimal neurotoxicity in patients with local treatment.
Surgery followed by LBRT for single metastasis is not
inferior to WBRT , because survival and necessity of
salvage treatment after LBRT were equivalent to
those after WBRT