Surgical treatment of brain metastases: Result analysis of a historical chort in a reference center.

Solapas principales

 

Rasmussen J. 1 , Beltrame S. 1, Ajler P. 1, Baccanelli M. 1, Yampolsky C.1

 

ABSTRACT:

 

            Brain metastases are the most common brain tumor. Conventional neurosurgical resection provides one of the highest rates of local control and survival, with a low rate of complications.

Analysis of the historical cohort of adult patients submitted to surgical procedures for brain metastases at our center from January 2012 to May 2016. Epidemiological, oncological, anatomic and surgical data were recorded. Mortality was correlated with the main prognostic scores, in patients with follow-up of at least 6 months.

119 excision was performed. The mean overall survival was 240 days, while on average it was 307.9 (95% CI: 252.7-363.1) days. Survival curves showed statistically significant differences between the groups on the KPS scale (p = 0.0331), but not among the RPA groups (p = 0.1104).

Surgical treatment of brain metastases is an effective and safe procedure that prolongs the survival of cancer patients while preserving their functionality. A review of prognostic factors is necessary to optimize the selection of surgical candidates.

 

 

 

Key Words: Metastases, brain, neurosurgery, prognosis, survival.

 

 


1.       Servicio de Neurocirugía, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

 

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