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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