Targeted Radiotherapy of the Tumor Cavity after Surgical Resection of Aggressive Recurrent Brain Metastasis: A Case Report

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Authors

FADRUS Pavel KAZDA Tomáš DVORACEK Petr POSPÍŠIL Petr HYNKOVÁ Ludmila ZITTERBARTOVÁ Jana DYMÁČKOVÁ Radana KOLOUŠKOVÁ Ivana BELANOVÁ Renata PROCHÁZKA Tomáš ŠLAMPA Pavel

Year of publication 2020
Type Article in Periodical
Magazine / Source CASE REPORTS IN ONCOLOGY
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.karger.com/Article/Pdf/506328
Doi http://dx.doi.org/10.1159/000506328
Keywords Brain metastases; Radiotherapy; Local control
Description Postoperative management of patients with brain metastases is controversial. Besides local control, cognitive function and quality of life are the most important outcomes of postoperative radiotherapy. In this case report, we introduce a patient with aggressive recurred solid metastasis treated with repeated surgery and an individual radiotherapy approach in order to highlight that close mutual collaboration leads to a clear benefit for our patients. The local targeted radiotherapy with 35 Gy in 10 fractions was performed with the volumetric modulated arc technique, leading to more than 2.5 years of local control and survival without any of the side effects usually attributed to whole brain radiotherapy.
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