Five-year survivors from brain metastases treated with stereotactic radiosurgery: Biology, improving treatments, or just plain luck?

brain metastasis neurologic death prolonged survival

Journal

Neuro-oncology practice
ISSN: 2054-2577
Titre abrégé: Neurooncol Pract
Pays: England
ID NLM: 101640528

Informations de publication

Date de publication:
Apr 2023
Historique:
entrez: 27 3 2023
pubmed: 28 3 2023
medline: 28 3 2023
Statut: epublish

Résumé

Improvements in therapies have led to an increasing number of long-term survivors of brain metastases. The present series compares a population of 5-year survivors of brain metastases to a generalized brain metastases population to assess for factors attributable to long-term survival. A single institution retrospective review was performed to identify 5-year survivors of brain metastases who received stereotactic radiosurgery (SRS). A historical control population of 737 patients with brain metastases was used to assess similarities and differences between the long-term survivor population and the general population treated with SRS. A total of 98 patients with brain metastases were found to have survived over 60 months. No differences between long-term survivors and controls were identified with regards to the age at first SRS ( Five-year survivors of brain metastases represent a diverse histologic population, suggesting a small population of oligometastatic and indolent cancers exist for each cancer type.

Sections du résumé

Background UNASSIGNED
Improvements in therapies have led to an increasing number of long-term survivors of brain metastases. The present series compares a population of 5-year survivors of brain metastases to a generalized brain metastases population to assess for factors attributable to long-term survival.
Methods UNASSIGNED
A single institution retrospective review was performed to identify 5-year survivors of brain metastases who received stereotactic radiosurgery (SRS). A historical control population of 737 patients with brain metastases was used to assess similarities and differences between the long-term survivor population and the general population treated with SRS.
Results UNASSIGNED
A total of 98 patients with brain metastases were found to have survived over 60 months. No differences between long-term survivors and controls were identified with regards to the age at first SRS (
Conclusion UNASSIGNED
Five-year survivors of brain metastases represent a diverse histologic population, suggesting a small population of oligometastatic and indolent cancers exist for each cancer type.

Identifiants

pubmed: 36970170
doi: 10.1093/nop/npac095
pii: npac095
pmc: PMC10037943
doi:

Types de publication

Journal Article

Langues

eng

Pagination

195-202

Subventions

Organisme : NCI NIH HHS
ID : P30 CA012197
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of the Society for Neuro-Oncology and the European Association of Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Déclaration de conflit d'intérêts

Dr Stephen Tatter: Arbor Pharmaceuticals, research support, Monteris Medical Inc., research support. Dr Michael Chan: Monteris Medical Inc., speaker. The remainder of the authors declares no conflicts of interest.

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Auteurs

Jane B Pearce (JB)

Department of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Fang-Chi Hsu (FC)

Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Claire M Lanier (CM)

Department of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Christina K Cramer (CK)

Department of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Jimmy Ruiz (J)

Department of Medicine (Hematology and Oncology), Wake Forest School of Medicine, Winston-Salem, NC, USA.

Hui-Wen Lo (HW)

Department of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Fei Xing (F)

Department of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Margaret Smith (M)

Department of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Wencheng Li (W)

Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Christopher Whitlow (C)

Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Jaclyn J White (JJ)

Department of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Stephen B Tatter (SB)

Department of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Adrian W Laxton (AW)

Department of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Michael D Chan (MD)

Department of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Classifications MeSH