Skip to content

Brain Cancer Health Center

Font Size

Adult Brain Tumors Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Changes to This Summary (05 / 14 / 2013)

The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.

General Information About Adult Brain Tumors

Recommended Related to Brain Cancer

Treatment Option Overview

There are different types of treatment for patients with central nervous system atypical teratoid/rhabdoid tumor. Different types of treatment are available for patients with central nervous system atypical teratoid/rhabdoid tumor (AT/RT). Treatment for AT/RT is usually within a clinical trial. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. Clinical trials are taking place in many parts of...

Read the Treatment Option Overview article > >

Revised text on factors used to diagnose brain metastases to include diagnostic procedures, including contrast magnetic resonance imaging (MRI) of the brain.

Treatment Option Overview

Added text to state that external-beam radiation therapy using either 3-dimensional conformal radiation therapy or intensity-modulated radiation therapy is considered an acceptable technique in radiation therapy delivery. Typically 2- to 3-cm margins on the MRI-based volumes to create the planning target volume are used. Dose escalation using radiosurgery has not improved outcomes.

Added Souhami et al. as reference 15.

Added Leptomeningeal carcinomatosis as a new subsection.

Added text to state that a phase III randomized trial compared adjuvant whole-brain radiation therapy (WBRT) with observation after surgery or radiosurgery for a limited number of brain metastases in patients with stable solid tumors. Added that health-related quality of life was improved in the observation-only arm compared with WBRT and patients in the observation arm had better mean scores in physical, role, and cognitive functioning at 9 months. Also added that In an exploratory analysis, statistically significant worse scores for bladder control, communication deficit, drowsiness, hair loss, motor dysfunction, leg weakness, appetite loss, constipation, nausea/vomiting, pain, and social functioning were observed in patients who underwent WBRT compared with those who underwent observation only (cited Soffietti et al. as reference 48 and level of evidence 1iiC).

Revised text to state that given this body of information, focal therapy plus WBRT or focal therapy alone, with close follow-up with serial MRIs and initiation of salvage therapy when clinically indicated, appear to be reasonsable treatment options.

Revised text to state that patients with multiple brain metastases may be treated with WBRT and that surgery is indicated to obtain tissue from a metastasis with an unknown primary tumor or to decompress a symptomatic dominant lesion causing significant mass effect. Added text to state that a meta-analysis of two trials found no statistically significant difference in overall survival (OS) between the WBRT plus stereotactic radiosurgery (SRS) and WBRT alone groups; patients in the WBRT plus SRS group had decreased local failure compared with patients who received WBRT alone. An unchanged or improved Karnofsky Performance Scale at 6 months was seen in 43% of patients in the combined therapy group versus only 28% in the WBRT group (cited Patil et al. as reference 49 and level of evidence 1iiDiii).

    1|2
    Next Article:

    Today on WebMD

    doctor and patient
    How to know when it’s time for home care
    doctory with x-ray
    Here are 10 to know.
     
    sauteed cherry tomatoes
    Fight cancer one plate at a time.
    Lung cancer xray
    See it in pictures, plus read the facts.
     
    Malignant Gliomas
    Article
    Pets Improve Your Health
    SLIDESHOW
     
    Headache Emergencies
    Video
    life after a brain tumor
    VIDEO
     

    Would you consider trying alternative or complementary therapies?


    WebMD Special Sections