How do you manage a symptomatic meningioma and associated vasogenic edema in a poor performance status patient?
Is there any additional benefit to radiation in addition to steroids in a patient who is not a surgical candidate?
Answer from: Radiation Oncologist at Academic Institution
Superficially, this resembles a straightforward question, but in reality, it is very nuanced, with numerous variables driving decision-making. My sequential "thought-experiment" in a situation like this would proceed as follows:1. Why does the patient have poor KPS? Are there underlying comorbiditie...
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Answer from: Radiation Oncologist at Academic Institution
A symptomatic meningioma with significant edema could have a higher grade than WHO I. There is probably a benefit in stopping tumor progression if the patient cannot have surgery. Depending on the reason(s) of the patient’s poor performance status, there may be challenges (logistic or other) f...