Cerebral metastases are the most common intracranial tumor in adults. Studies have shown that 20-40% of cancer patients will develop cerebral metastases during their disease course. With the combined enhanced detection modalities and new cancer therapies, the life expectancy of patients with cancer is increasing, leading to an increase in expectance of brain metastases. This makes the treatment of cerebral metastases an important consideration in modern cancer therapy.
Historically, cerebral metastases were managed with palliative therapy and were considered the end stage of a patient’s disease, with a prognosis of less than a month. This improved with the introduction of corticosteroid therapy in the 1960s, followed later by the addition of whole brain radiation therapy (WBRT).
Currently, the life expectancy of patients with brain metastases can be dramatically increased with both a combination of surgery and radiation, whether stereotactic radiosurgery (SRS) or WBRT. Corticosteroid therapy is important in the treatment of symptomatic metastases but has significant side effects. Surgery alleviates the need for corticosteroid therapy, reducing the complications from steroid use (i.e. Infection, psychosis, myopathy, intestinal bleeding, elevated sugar and blood pressure). Therefore, surgery for cerebral metastases can have a profound impact on both life expectancy and quality of life.
At the Holy Cross Neuroscience Institute, our multidisciplinary group of expert staff (neurosurgeons, oncologists, radiation oncologists, pathologists and radiologists) determines the best treatment option for patients afflicted with such tumors. Not only do we treat the disease, but we spend time tailoring treatment best suited on an individual basis, knowing not every case is the same. We have expanded our team in order to treat patients in the community and all of Broward and nearby counties. In doing so, we hope to make it easier on patients and families in the community who would otherwise need to commute long distances to other hospitals in order to receive treatment. Our goal is to make a difference and to give a longer and more meaningful quality of life to both the patient and their family.
Dr. Ghods is a neurosurgeon who specializes in brain tumors, and he practices in Fort Lauderdale, FL. For a physician referral, call 954-440-7606.