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Survival Of Patients With Brain Metastases After Palliative Whole-Brain Radiotherapy - An Experience From A Single
Dawood Misbah1, Muhammad Fawad-Ul-Qamar2, Nadia Khaleeq3
1Department of Oncology, Mater Private Hospital, Dublin, Ireland.
Journal of Ayub Medical College, Abbottabad : JAMC
|February 26, 2024
Summary
Palliative whole-brain radiotherapy is a common treatment for brain metastases. Survival was poorest for breast cancer patients and those with extracranial disease, highlighting the need for targeted therapies.
Area of Science:
- Oncology
- Radiotherapy
- Cancer Metastasis
Background:
- Brain metastases affect approximately 20% of cancer patients.
- Palliative whole-brain radiotherapy is a cost-effective treatment for multiple brain metastases.
- This study evaluates survival and prognostic factors in patients receiving palliative whole-brain radiotherapy.
Purpose of the Study:
- Determine overall survival in patients with brain metastases treated with palliative whole-brain radiotherapy.
- Identify prognostic factors influencing survival in this patient population.
Main Methods:
- Cross-sectional, retrospective study of patients who completed palliative whole-brain radiotherapy (July 2015 - July 2020).
- Data analyzed using SPSS 21.0.
- Overall survival calculated using the Kaplan-Meier method.
Main Results:
- Breast cancer was the most common primary tumor (45%), followed by lung (16.3%) and genitourinary (15.5%) cancers.
- Median overall survival was 5 months for breast cancer patients and 7 months for lung cancer patients.
- Patients with extracranial disease had a median survival of 5 months, compared to 12 months for those without.
Conclusions:
- Breast cancer is the most frequent cause of brain metastases.
- Younger patients, particularly those with triple-negative breast cancer, had poorer prognoses.
- Controlling extracranial disease significantly improved overall survival for patients with brain metastases.

