Surgery for single brain metastasis

David R. Macdonald; J. Gregory Cairncross; Roy A. Patchell; Phillip A. Tibbs; John W. Walsh; Robert J. Dempsey; Yosh Maruyama; Richard J. Kryscio; William R. Markesbery; John S. Macdonald; Byron Young

doi:10.1056/NEJM199007123230214

Surgery for single brain metastasis

David R. Macdonald, J. Gregory Cairncross, Roy A. Patchell, Phillip A. Tibbs, John W. Walsh, Robert J. Dempsey, Yosh Maruyama, Richard J. Kryscio, William R. Markesbery, John S. Macdonald, Byron Young

Research output: Contribution to journal › Letter › peer-review

8 Scopus citations

Abstract

To the Editor: Patchell et al. (Feb. 22 issue)¹ report that surgical resection followed by whole-brain radiation therapy for single brain metastasis prolongs overall survival and functional independence and reduces the risk of local recurrence as compared with radiation therapy alone. These are important observations. However, before every patient with a single accessible brain metastasis is offered surgery, several points need clarification. We ask Patchell et al. to comment on the mechanism by which their patients were ascertained and to reassure us that they are representative of all patients who have single accessible brain metastases. Referral patterns, criteria for entry.

Original language	English
Pages (from-to)	132-133
Number of pages	2
Journal	New England Journal of Medicine
Volume	323
Issue number	2
DOIs	https://doi.org/10.1056/NEJM199007123230214
State	Published - Jul 12 1990

ASJC Scopus subject areas

General Medicine

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title = "Surgery for single brain metastasis",

abstract = "To the Editor: Patchell et al. (Feb. 22 issue)1 report that surgical resection followed by whole-brain radiation therapy for single brain metastasis prolongs overall survival and functional independence and reduces the risk of local recurrence as compared with radiation therapy alone. These are important observations. However, before every patient with a single accessible brain metastasis is offered surgery, several points need clarification. We ask Patchell et al. to comment on the mechanism by which their patients were ascertained and to reassure us that they are representative of all patients who have single accessible brain metastases. Referral patterns, criteria for entry.",

author = "Macdonald, {David R.} and Cairncross, {J. Gregory} and Patchell, {Roy A.} and Tibbs, {Phillip A.} and Walsh, {John W.} and Dempsey, {Robert J.} and Yosh Maruyama and Kryscio, {Richard J.} and Markesbery, {William R.} and Macdonald, {John S.} and Byron Young",

year = "1990",

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doi = "10.1056/NEJM199007123230214",

language = "English",

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TY - JOUR

T1 - Surgery for single brain metastasis

AU - Macdonald, David R.

AU - Cairncross, J. Gregory

AU - Patchell, Roy A.

AU - Tibbs, Phillip A.

AU - Walsh, John W.

AU - Dempsey, Robert J.

AU - Maruyama, Yosh

AU - Kryscio, Richard J.

AU - Markesbery, William R.

AU - Macdonald, John S.

AU - Young, Byron

PY - 1990/7/12

Y1 - 1990/7/12

N2 - To the Editor: Patchell et al. (Feb. 22 issue)1 report that surgical resection followed by whole-brain radiation therapy for single brain metastasis prolongs overall survival and functional independence and reduces the risk of local recurrence as compared with radiation therapy alone. These are important observations. However, before every patient with a single accessible brain metastasis is offered surgery, several points need clarification. We ask Patchell et al. to comment on the mechanism by which their patients were ascertained and to reassure us that they are representative of all patients who have single accessible brain metastases. Referral patterns, criteria for entry.

AB - To the Editor: Patchell et al. (Feb. 22 issue)1 report that surgical resection followed by whole-brain radiation therapy for single brain metastasis prolongs overall survival and functional independence and reduces the risk of local recurrence as compared with radiation therapy alone. These are important observations. However, before every patient with a single accessible brain metastasis is offered surgery, several points need clarification. We ask Patchell et al. to comment on the mechanism by which their patients were ascertained and to reassure us that they are representative of all patients who have single accessible brain metastases. Referral patterns, criteria for entry.

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M3 - Letter

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VL - 323

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JO - New England Journal of Medicine

JF - New England Journal of Medicine

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ER -

Surgery for single brain metastasis

Abstract

ASJC Scopus subject areas

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