PALLIATIVE MANAGEMENT OF BRAIN METASTASES

The development of brain metastases in patients with advanced cancer i s associated with increased morbidity and diminished longevity. Pallia tive treatment modalities focus predominantly on improving quality of life. Well-established beneficial treatments include the use of cortic osteroids, radiotherapy, and surgery. Management issues that require f urther exploration and clarification include the dosages of glucocorti coids, the prophylactic use of anticonvulsants and the indications for radiosurgery.