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Would you offer post-operative SRS/SBRT in the case of a resected brain metastasis from metastatic NSCLC with an EGFR mutation?

With targeted therapies available, is there a utility for post-op SRS to the resection cavity?
2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Tennessee Oncology
Answered on · Updated on

Absolutely. For symptomatic brain metastases, I would not rely on the efficacy of systemic therapy alone either in the intact or post-operative setting. CNS objective response rates are around 60% for osimertinib with DCR around 90% which is quite good. However, intracranial complete response rates ...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Washington School of Medicine
Answered on

I agree. One reason is that after surgical resection, the vascularization of the surgical cavity is poor and drug penetration may be suboptimal.

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