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Neurosurgical Management of Single Brain Metastases

  • Sherise D. FergusonEmail author
  • Richard G. Everson
  • Kathryn M. Wagner
  • Debra Nana Yeboa
  • Ian E. McCutcheon
  • Raymond Sawaya
Chapter

Abstract

Brain metastasis is the most common type of intracranial tumor. The contemporary management of brain metastasis is a challenging issue and carries a poor prognosis, as traditionally it occurs in the setting of advanced systemic disease. Yet, as advances in systemic cancer treatment cause an increasing number of patients to develop brain metastases in the setting of limited systemic disease, the means for effectively treating them becomes more important. Surgery and stereotactic radiosurgery provide excellent therapeutic options for many such patients with single brain metastases. Concepts in managing brain metastasis are advancing, particularly with the judicious use of available techniques being applied as multimodal therapy tailored to the individual patient, which has now become the standard of care.

Keywords

Brain metastasis Brain metastases Gross-total resection Stereotactic radiosurgery Whole-brain radiation therapy 

Notes

Acknowledgments

We thank David M. Wildrick, PhD, for editorial assistance.

Conflict of Interest

 The authors declare that they have no conflicts of interest.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sherise D. Ferguson
    • 1
    Email author
  • Richard G. Everson
    • 2
  • Kathryn M. Wagner
    • 3
  • Debra Nana Yeboa
    • 4
  • Ian E. McCutcheon
    • 1
  • Raymond Sawaya
    • 1
  1. 1.Department of NeurosurgeryThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of NeurosurgeryUCLA Medical CenterLos AngelesUSA
  3. 3.Department of NeurosurgeryBaylor College of MedicineHoustonUSA
  4. 4.Department of Radiation OncologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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