Session Item

Saturday
November 28
08:45 - 10:00
Clinical Stream 2
This house believes that upfront radiotherapy is mandatory in patients with brain mets even in the era of immunotherapy
1110
Debate
Clinical
09:15 - 09:30
Upfront radiotherapy is mandatory in patients with brain mets even in the era of immunotherapy
SP-0025

Abstract

Upfront radiotherapy is mandatory in patients with brain mets even in the era of immunotherapy
Authors: Andratschke|, Nicolaus(1)*[Nicolaus.Andratschke@usz.ch];
(1)University Hospital Zürich, Department of Radiation Oncology, Zurich, Switzerland;
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Abstract Text
Abstract text

 Brain metastases are common events in the natural course of many metastasized solid cancers like breast, lung and renal cancer or melanoma with a cumulative risk of 10-30% in adults. In recent years, novel systemic treatment strategies have been developed and this has impacted on the general management of brain metastases. Although formal comparative level I evidence is still missing, radiotherapy as the mainstay in brain metastases management is being challenged.As a pro discussant I will support the role of early integration of SRS in the management of brain metastases, especially in the light of recent developments in oligometastasis and repeat SRS for multiple brain metastases, and critically discuss systemic only approaches.