How do you manage a symptomatic meningioma and associated vasogenic edema in a poor performance status patient?

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...

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) for a m...