When is surgical resection of brain metastasis contraindicated?

Updated: Aug 01, 2018
  • Author: Victor Tse, MD, PhD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Contraindications to surgery include a radiosensitive tumor (eg, small-cell lung tumor), patient life expectancy < 3 months (WBRT indicated), and multiple lesions. However, Bindal et al recently indicated that patients who underwent resection of multiple lesions fared better than patients with multiple lesions who did not undergo surgery. [19] Morbidity and mortality rates are essentially the same as those in patients with a solitary lesion.


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