limitations of stereotactic radiosurgery discussion
Interpret the CT of the brain.
2. A magnetic resonance imaging (MRI) scan of the brain
with contrast was then obtained ( Fig. 17.2 ). Interpret
the images.
3. What is the diff erential diagnosis for a solitary enhancing mass lesion with cerebral edema?
4. What is your initial management for this patient?
5. Name the common primary sources for brain metastases.
The patient‘s left-sided weakness improved signifi cantly
with steroids. CT of the chest, abdomen, and pelvis was
unremarkable. The bone scan failed to reveal evidence
of skeletal lesions. Surgical intervention was sought to
establish a histologic diagnosis and alleviate mass eff ect
for symptom relief and improvement in quality of life.
6. Describe a treatment plan for this patient.
7. What is the effi cacy of surgical resection for the treatment of metastatic brain lesions?
8. What are the benefi ts and limitations of stereotactic
radiosurgery (SRS) for metastatic brain lesions?
9. How does the addition of whole brain radiation
therapy (WBRT) to surgical resection aff ect tumor
recurrence?
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