Summary
This is a retrospective study of 134 patients operated on for solitary brain metastasis at the University Hospital in Uppsala, Sweden between 1963 and 1982. All the patients underwent postoperative radiation therapy. A statistical evaluation of different prognostic factors was made in order to create a prognostic model, a so-called risk profile, to be used for future patients. The most important factors for the making of risk profiles were found to be the “histological diagnosis” followed by the “location” in the brain, then the “state on admission” and the “age” at admission in that declining order. All these variables separately and together,i.e., as risk profiles, were matched against the outcome during survival as Karnofsky's scores and against the length of survival time. The results are shown in a diagram giving the surgeon grounds for his decision-making for or against operation and also for pre-operative information.
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References
Black P (1979) Brain metastasis. Current status and recommended guidelines for management. Topic review. Neurosurgery 5: 617–631
Carlsson C-A, Grevsten S, Pellettieri L (1980) Surgical decision analysis: Methodological aspects of statistical evaluation in therapeutic trials. Acta Chir Scand 146: 449–457
Chan CR, Steinbock P (1982) Solitary cerebral metastasis: the effect of craniotomy on the quality and duration of survival. Neurosurgery 11: 254–257
Karnofsky DA, Abelmann WH, Craven LF, Burchend JH (1948) The use of nitrogen mustard in the palliative treatment of carcinoma with particular reference to bronchogenic carcinoma. Cancer 1: 634–656
Yardem D, Reichenthal E, Zucker G, Rubinstein A, Cohen M, Jaraeli G, Shalit MN (1984) Neuosurgical management of single brain metastasis. Surg Neurol 21: 377–384
Mareksbery RW, Brooks HW, Ghansyam DG, Byron Young A (1978) Treatment for patients with cerebral metastases. Arch Neurol 35: 754–756
Pellettieri L, Carlsson CA, Grevsten S, Norlén G, Uhleman C (1979) Surgical versus conservative treatment of intracranial arteriovenous malformations. A study in surgical decision making. Acta Neurochir (Wien) [Suppl] 29. Springer, Wien New York
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Pellettieri, L., Sjölander, U. & Jakobsson, K.E. Prognostic evaluation before operative extirpation and radiotherapy of solitary brain metastasis. Acta neurochir 86, 6–11 (1987). https://doi.org/10.1007/BF01419497
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DOI: https://doi.org/10.1007/BF01419497