Neo-adjuvant SRS versus en bloc resection challenges


Anthony Asher, MD, from Carolina Neurosurgery & Spine Associates discusses neo-adjuvant radiosurgery versus en bloc resection. He outlines that select patients can benefit from resection of cerebral metastases and there appears to be a broad consensus that some form of adjuvant radiation should be combined with surgery to reduce the risk of local occurrence. Dr. Asher explores the forms of this adjuvant radiotherapy: Whole brain radiation therapy (WBRT) and preoperative as well as postoperative radiosurgery. He then discusses in more detail neo-adjuvant radiosurgery using case examples.


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