692 / 1542
Surgery
Advantages
Tissue for diagnosis
Removes mass immediately
Improves local control
Retreatment of previously irradiated pts
Large lesions can be treated
Disadavantages
Invasive
Longer hospital stay
Limited to 1-3 M+
Risk of hemorraghe, infection
Radiosurgery
Advantages
Minimally invasive
No hospitalisation
Cost effective
Improved local control
Treats surgically inaccessible tumors
Avoids general anesthesia
Disadavantages
Only small tumors
Longer time to resolve mass effect
Limited number of M+?
25
Brain metastasis
Clinical indications