Role of radiation therapy in brain metastases management.
Fiche publication
Date publication
août 2020
Journal
Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ANTONI Delphine, Pr NOEL Georges
Tous les auteurs :
Dhermain F, Noël G, Antoni D, Tallet A
Lien Pubmed
Résumé
The challenge of the management of brain metastases has not finished yet. Although new diagnosis-specific prognostic assessment classifications and guidelines for patients with brain metastases help to guide treatment more appropriately, and even if the development of modern technologies in imaging and radiation treatment, as well as improved new systemic therapies, allow to reduce cognitive side effects and make retreatment or multiple and combined treatment possible, several questions remain unanswered. However, tailoring the treatment to the patient and his expectations is still essential; in other words, patients with a poor prognosis should not be over-treated, and those with a favorable prognosis may not be subtracted to the best treatment option. Some ongoing trials with appropriate endpoints could better inform our choices. Finally, a case-by-case inter-disciplinary discussion remains essential.
Mots clés
Combined systemic treatment, HA-WBRT, Radiochirurgie, Radiothérapie pan-cérébrale, SRS/SBRT, Traitements systémiques combinés, WBRT, Épargne hippocampique
Référence
Cancer Radiother. 2020 Aug 19;: