Do you place asymptomatic patients being treated for brain metastasis with SRS on prophylactic steroids?
If so - how long?
Answer from: Radiation Oncologist at Academic Institution
We do not use steroids routinely for asymptomatic patients being treated for brain metastases except if there is a concern based on anatomic location, volume, and/or presence of edema (e.g. adjacent to motor strip with significant edema, in or adjacent to brain stem, V1...
Answer from: Radiation Oncologist at Academic Institution
At our institution, we typically do. Swelling is possible post SRS which can become symptomatic. We don't tend to keep patients very long on steroids. One of our popular regimens is dexamethasone 4 mg 2x/day X 4 days, then 2 mg 3x/day X 2 days, 2 mg 2x/day X 2 days, then 2 mg daily X 2 days, then st...
Comments
Radiation Oncologist Do you use a similar regimen for benign lesion SRS...
Radiation Oncologist at RadiantCare @Amy Dursteler - not routinely, in line with the f...