What would be your approach in a patient who presented with a solitary brain metastasis that resolved after chemo without local therapy?

Topics: Radiation Oncology • Thoracic Malignancies • Medical Oncology • Brain Metastases • CNS Disease

Would you offer consolidative brain SRS, SRS + consolidative RT to the primary (e.g. lung), consolidative RT to the primary alone?

Answer from: Radiation Oncologist at Academic Institution

While I have not had this happen with my patients receiving chemotherapy alone, in the era of targeted therapies for oncogenic driver mutated NSCLC, we have had some great intracranial response rates with systemic alone, and for these, I have held off SRS to evaluate response. In someone with a comp...

Comments

Radiation Oncologist at St. Anne's Hospital
I absolutely agree with this. The point of stereot...

Answer from: Medical Oncologist at Community Practice

I have seen long term responses

Related Questions