Do you wait to treat small asymptomatic brain metastases until they reach a certain size?
For example a 1 or 2 mm brain metastasis? Would you consider waiting for these to enlarge slightly for reasons such as more certainty they are real, less normal brain to be treated, and additional lesions to declare themselves?
Answer from: Radiation Oncologist at Academic Institution
I typically treat all lesions on MRI that are found to be concerning for brain metastases. This is after a discussion with our neuroradiologist colleagues. If there is uncertainty that a small lesion may not be a brain metastasis, then I will elect to follow with a surveillance MRI and treat in the ...
Comments
Radiation Oncologist at Lake Huron Medical Center Great answer, thank you.
Radiation Oncologist at Mayo Clinic Thanks for your informative answer. Very helpful.&...
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Radiation Oncologist at West Virginia University The one thing missing from a discussion about brai...
Great answer, thank you.
Thanks for your informative answer. Very helpful.&...
Thanks for the very useful answer.
The one thing missing from a discussion about brai...