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[Brain metastases-Interdisciplinary approach towards a personalized treatment]
S Grau1,2, M Herling3,4, C Mauch5,4
1Klinik für Allgemeine Neurochirurgie, Universität zu Köln, Medizinische Fakultät, Klinikum der Universität, Kerpener Str. 62, 50937, Köln, Deutschland. Stefan.grau@uk-koeln.de.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|January 27, 2021
Summary
Advances in surgical, radiotherapeutic, and systemic treatments have significantly improved survival for brain metastases patients. Modern interdisciplinary approaches offer more personalized and effective care, moving beyond purely palliative strategies.
Area of Science:
- Neuro-oncology
- Medical Oncology
- Radiation Oncology
Background:
- Brain metastases treatment has evolved significantly over recent decades.
- Historically, survival was limited (3-6 months), with palliative care often being the sole focus.
- Previous approaches often excluded patients from systemic therapy and clinical trials.
Purpose of the Study:
- To review the progress in treating brain metastases.
- To highlight the complexity of modern interdisciplinary treatment concepts.
- To demonstrate advancements in personalized medicine for brain metastases.
Main Methods:
- Review of current literature on brain metastases management.
- Analysis of novel surgical, radiotherapeutic, and systemic treatment modalities.
- Discussion of interdisciplinary and personalized treatment strategies.
Main Results:
- Survival times for brain metastases have substantially increased.
- Targeted therapies, immunotherapies, and advanced radiation techniques are now available.
- Personalized treatment approaches are increasingly feasible.
Conclusions:
- Modern treatment paradigms have transformed brain metastases care.
- Interdisciplinary collaboration is crucial for optimal patient outcomes.
- Advancements enable more effective and tailored therapeutic strategies.

