Current management of brain mets
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1
. Are you a
Are you a
Neurosurgeon
Clinical Oncologist
Radiation Oncologist
2
. Do you have a sub specialty interest in Neuro-Oncology?
Do you have a sub specialty interest in Neuro-Oncology?
Yes
No
3
. Do you have local access to stereotactic radiosurgery?
Do you have local access to stereotactic radiosurgery?
Yes
No
4
. Please answer the following series of questions based on your current practice for a patient with a performance status of 1:
For a 1.5cm solitary metastasis in non-eloquent brain would you recommend
Please answer the following series of questions based on your current practice for a patient with a performance status of 1: For a 1.5cm solitary metastasis in non-eloquent brain would you recommend
Surgery plus whole brain radiotherapy (WBRT)
Surgery alone
Stereotactic radiosurgery (SRS) plus WBRT
SRS alone
Surgery plus SRS boost plus WBRT
WBRT alone
5
. For a 1.5cm solitary metastasis in superficial eloquent brain would you recommend
For a 1.5cm solitary metastasis in superficial eloquent brain would you recommend
Surgery plus whole brain radiotherapy (WBRT)
Surgery alone
Stereotactic radiosurgery (SRS) plus WBRT
SRS alone
Surgery plus SRS boost plus WBRT
WBRT alone
6
. For a 3cm solitary metastasis in non-eloquent brain would you recommend
For a 3cm solitary metastasis in non-eloquent brain would you recommend
Surgery plus whole brain radiotherapy (WBRT)
Surgery alone
Stereotactic radiosurgery (SRS) plus WBRT
SRS alone
Surgery plus SRS boost plus WBRT
WBRT alone
7
. For a patient with 3 mets all below 3cm would you recommend
For a patient with 3 mets all below 3cm would you recommend
Surgery plus whole brain radiotherapy (WBRT)
Surgery alone
Stereotactic radiosurgery (SRS) plus WBRT
SRS alone
Surgery plus SRS boost plus WBRT
WBRT alone
8
. For a patient with 5 mets would you recommend
For a patient with 5 mets would you recommend
SRS plus WBRT
SRS alone
WBRT alone
No treatment
9
. Does the primary tumour site influence your management decision?
Please indicate for which primary tumour site(s) you would not give aggressive treatment
Does the primary tumour site influence your management decision? Please indicate for which primary tumour site(s) you would not give aggressive treatment
Primary site does not influence decision
Breast
Non small cell lung
Small cell lung
Melanoma
GI
Renal
Unknown primary
10
. Would you offer surgery or SRS in the presence of uncontrolled systemic disease?
Would you offer surgery or SRS in the presence of uncontrolled systemic disease?
Surgery
SRS
Neither
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