
© Robert Gauthier/Los Angeles TimesA doctor stands by images of a CT scan showing a brain with cancer.
The first set of guidelines dealing with cancer that has spread to the brain calls for treatment with both surgery and radiation therapy instead of just radiation alone.
The document, released today at the Congress of Neurological Surgeons meeting in New Orleans, is designed to clarify the best treatments for brain metastases and identify areas where more research is needed, said Dr. Steven Kalkanis, co-director of the Hermelin Brain Tumor Center at Henry Ford Hospital in Detroit and a member of the panel of experts who developed the guidelines.
Braincancer Among 1.4 million individuals with cancer in the United States, 30% to 40% will develop brain metastases -- tumors that travel to the brain from other areas in the body, such as the breast or lung. It's common practice to treat patients with whole brain radiation. However, a review of medical literature shows that the best results are obtained when patients have surgery to remove the brain tumors followed by whole brain radiation, Kalkanis said.
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