For Brain Mets Post-Surgery, Whole Brain RT is Overkill

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http://www.medpagetoday.com/MeetingCoverage/ASTRO/...

"For Brain Mets Post-Surgery, Whole Brain RT is Overkill

Confining radiotherapy to surgical cavity appears adequate"......

"Action Points

• Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.
• Post-op stereotactic radiosurgery (SRS) of the surgical cavity in patients with resected brain metastases should be a standard of care with equivalent survival, better preservation of cognitive function and quality of life, and less toxicity than whole brain radiotherapy (WBRT).
• Note that SRS decreased the rate of post-operative local recurrence for brain metastases compared to WBRT, but did not augment overall survival or rate of distant metastases."