Do you ever consider a third course of CNS radiation to the same area for an in-field recurrence?
For a patient with prior WBRT + SRS, or SRS + SRS to the same area, who has a convincing in field recurrence, would you ever consider a third course of treatment if there are no operative options (eg surgery or LITT)?
Answer from: Radiation Oncologist at Academic Institution
I’m assuming this is for brain metastases? If so, would be helpful to know how long and interval time of the first and second RT treatments. Would discuss this at our brain mets tumor board. Any particular reason why not surgical or LITT candidate? If this patient has a good KPS, no or minimal...