Single brain metastases: Surgery plus radiation or radiation alone Journal Article


Authors: Patchell, R. A.; Cirrincione, C.; Thaler, H. T.; Galicich, J. H.; Kim, J. H.; Posner, J. B.
Article Title: Single brain metastases: Surgery plus radiation or radiation alone
Abstract: We reviewed the records of patients treated for single brain metastases from non-small-cell lung cancer for 1978 through 1982. Forty-three patients received surgical treatment, including 37 who had surgery plus postoperative whole-brain radiation therapy and 6 patients who had surgery after failing to respond to radiation therapy. The surgically treated patients were matched with 43 patients treated with radiation therapy alone. The combined therapy group had significantly longer survivals than those treated with radiation therapy alone (19 months versus 9 months). The rates of local recurrence and neurologically related deaths were significantly higher in the radiation therapy-alone group. Patients treated with combined therapy survived longer, and the increased survival was due to lower recurrence of brain metastases after surgery and fewer neurologically related deaths.
Keywords: clinical article; methodology; radiotherapy; central nervous system; bone; surgery; lung carcinoma; craniotomy; therapy; central nervous system metastasis; respiratory system; human; priority journal
Journal Title: Neurology
Volume: 36
Issue: 4
ISSN: 0028-3878
Publisher: Lippincott Williams & Wilkins  
Date Published: 1986-04-01
Start Page: 447
End Page: 453
Language: English
DOI: 10.1212/wnl.36.4.447
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
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  1. Jerome B Posner
    211 Posner
  2. Howard T Thaler
    245 Thaler
  3. Jae Ho Kim
    25 Kim