{"id":2387,"date":"2013-01-29T13:44:33","date_gmt":"2013-01-29T13:44:33","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/surgery-stereotactic-radiosurgery\/"},"modified":"2025-05-13T20:28:00","modified_gmt":"2025-05-13T20:28:00","slug":"surgery-stereotactic-radiosurgery","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/surgery-stereotactic-radiosurgery\/","title":{"rendered":"Advantages of Surgery and Stereotactic Radiosurgery for Brain Metastases"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Stereotactic radiosurgery is an appropriate form of therapy for patients who have one to four brain metastases, no larger than 4 cm in diameter, from metastatic cancer. It appears to be effective for all types of primary tumors, even those that have been considered to be resistant to conventional radiation therapy.<br \/>\n<!--more--><br \/>\n<strong>Characteristics of Brain Metastases That Make Them Ideal Targets of Radiosurgery.<\/strong><\/p>\n<ul>\n<li>Well-defined on imaging (MRI and CT)<\/li>\n<li>Spherical or pseudospherical shape<\/li>\n<li>Most &lt;4 cm in maximum diameter<\/li>\n<li>Generally noninfiltrative<\/li>\n<li>Located at gray\u2013white junction<\/li>\n<\/ul>\n<p>* CT denotes computed tomography, and MRI magnetic resonance imaging.<\/p>\n<p><strong>Advantages of Surgery and Stereotactic Radiosurgery for Brain Metastases.<\/strong><br \/>\nSurgery<\/p>\n<ul>\n<li>Treatment of larger lesions (&gt;4 cm in diameter)<\/li>\n<li>Rapid resolution of mass effect and edema<\/li>\n<li>Removal of cancer<\/li>\n<li>Histologic confirmation of cancer<\/li>\n<li>Rapid tapering of the dose of corticosteroids used to treat symptomatic lesions<\/li>\n<li>Less intensive follow-up<\/li>\n<li>Lower risk of radiation necrosis when combined with whole-brain radiation therapy<\/li>\n<\/ul>\n<p>Stereotactic Radiosurgery<\/p>\n<ul>\n<li>Treatment of small, deep lesions or eloquent areas<\/li>\n<li>Minimally invasive or noninvasive approach<\/li>\n<li>General anesthesia not required<\/li>\n<li>Outpatient procedure<\/li>\n<li>Treatment of multiple lesions during the same session<\/li>\n<li>Short recovery time (&lt;1 wk)<\/li>\n<li>Potential avoidance of whole-brain radiation therapy<\/li>\n<li>Rapid initiation of systemic therapies<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Suh JH. Stereotactic radiosurgery for the management of brain metastases. N Engl J Med. 2010 Mar 25;362(12):1119-27.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20335588\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Halasz LM, Rockhill JK. Stereotactic radiosurgery and stereotactic radiotherapy for brain metastases. Surg Neurol Int. 2013 May 2;4(Suppl 4):S185-91.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23717789\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Mar 06, 2013.<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[1054,622,248,770,1053,1052,1051,1050,1049,1048,766,1055],"class_list":["post-2387","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-advantages","tag-brain","tag-cerebral","tag-cirugia","tag-estereotactica","tag-metastases","tag-metastasis","tag-radiocirugia","tag-radiosurgery","tag-stereotactic","tag-surgery","tag-ventajas"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2387"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2387\/revisions"}],"predecessor-version":[{"id":9310,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2387\/revisions\/9310"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}