How do you treat patients with single/solitary brain metastases who undergo resection after failing SRS?
If there was true residual disease, do you offer whole brain RT, partial brain RT, SRS boost to the resection cavity, or observation?
Answer from: Radiation Oncologist at Community Practice
Because of the difficulty in distinguishing between true tumor recurrence, radionecrosis, and a mixed radionecrosis/tumor recurrence picture, if possible we prefer to approach these surgically. If the recurrence can't be resected, these are patients that are referred for biopsy + LITT (laser i...