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Cerebral Metastases*



Causes
  • Lung cancer
  • Breast cancer
  • Malignant melanoma - often single
  • Renal cell tumours - often single
  • Colorectal cancer
Management
  • Options depend on the extent of other diseases and comorbidities, presence and extent of tumour elsewhere.
  • In some cases solitary metastases may be resected and/or radiation or other treatments are given.
  • Steroids - Dexamethasone is given to most patients especially those showing oedema with sometimes dramatic short term benefits.
  • After CT scan or MRI discuss each case individually with neurosurgeons who may wish to biopsy for a tissue diagnosis and decision on whether to do more.
  • Surgery, Chemotherapy or Whole brain irradiation

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