Postoperative brain radiotherapy: Role of stereotactic radiotherapy [Radiothérapie cérébrale postopératoire: Indication de l'irradiation en conditions stéréotaxiques]

摘要

The addition of whole-brain radiotherapy is a standard of care for patients with single, resectable intracranial metastasis. Stereotactic irradiation of the postoperative resection cavity seems to offer excellent local control rates and avoid the neurocognitive risks of whole-brain radiation therapy. The risk of remote intracranial recurrence imposes a strict surveillance imaging in order to proceed to a possible irradiation before a symptomatic stage. It must be validated in future randomized trials.