Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery

Stereotactic radiosurgery (SRS) is a minimally invasive, focal treatment option for brain metastases. Multiple studies support its use in various settings as an effective, comparable alternative to surgery and whole-brain radiation therapy (WBRT). Here, we present excellent outcomes in a 90-year-old...

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Autores principales: Mahase, Sean S, Julie, Diana, Pannullo, Susan C., Parashar, Bhupesh, Wernicke, A. Gabriella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Radiation Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820014/
https://www.ncbi.nlm.nih.gov/pubmed/29492359
http://dx.doi.org/10.7759/cureus.1970
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author Mahase, Sean S
Julie, Diana
Pannullo, Susan C.
Parashar, Bhupesh
Wernicke, A. Gabriella
author_facet Mahase, Sean S
Julie, Diana
Pannullo, Susan C.
Parashar, Bhupesh
Wernicke, A. Gabriella
author_sort Mahase, Sean S
collection PubMed
description Stereotactic radiosurgery (SRS) is a minimally invasive, focal treatment option for brain metastases. Multiple studies support its use in various settings as an effective, comparable alternative to surgery and whole-brain radiation therapy (WBRT). Here, we present excellent outcomes in a 90-year-old patient who underwent SRS after initially presenting at age 84 with multiple brain metastases of an unknown primary, as well as undergoing SRS to a site of tumor recurrence that was initially treated with surgical resection and intraoperative cesium-131 (Cs-131) brachytherapy. To our knowledge, this is one of the first reports describing the effective use of both intraoperative brachytherapy and SRS in the management of multiple brain metastases. 
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spelling pubmed-58200142018-02-28 Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery Mahase, Sean S Julie, Diana Pannullo, Susan C. Parashar, Bhupesh Wernicke, A. Gabriella Cureus Radiation Oncology Stereotactic radiosurgery (SRS) is a minimally invasive, focal treatment option for brain metastases. Multiple studies support its use in various settings as an effective, comparable alternative to surgery and whole-brain radiation therapy (WBRT). Here, we present excellent outcomes in a 90-year-old patient who underwent SRS after initially presenting at age 84 with multiple brain metastases of an unknown primary, as well as undergoing SRS to a site of tumor recurrence that was initially treated with surgical resection and intraoperative cesium-131 (Cs-131) brachytherapy. To our knowledge, this is one of the first reports describing the effective use of both intraoperative brachytherapy and SRS in the management of multiple brain metastases.  Cureus 2017-12-20 /pmc/articles/PMC5820014/ /pubmed/29492359 http://dx.doi.org/10.7759/cureus.1970 Text en Copyright © 2017, Mahase et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiation Oncology
Mahase, Sean S
Julie, Diana
Pannullo, Susan C.
Parashar, Bhupesh
Wernicke, A. Gabriella
Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title_full Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title_fullStr Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title_full_unstemmed Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title_short Excellent Outcomes in a Geriatric Patient with Multiple Brain Metastases Undergoing Surgical Resection with Cesium-131 Implantation and Stereotactic Radiosurgery
title_sort excellent outcomes in a geriatric patient with multiple brain metastases undergoing surgical resection with cesium-131 implantation and stereotactic radiosurgery
topic Radiation Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820014/
https://www.ncbi.nlm.nih.gov/pubmed/29492359
http://dx.doi.org/10.7759/cureus.1970
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