Abstract
Several issues are pertinent to a discussion of chemotherapy for brain metastases (BM) [Table 1]. First and most important, there is a paucity of clinical trials with very few randomized trials [1–6]. The limited evidence supporting the use of chemotherapy for BM comes from nonrandomized, retrospective studies and case reports. Second, survival is often limited by death from systemic disease (approximately 30% of patients with BM die as a direct result of central nervous system disease). Patients with BM are heterogeneous and the importance of stratification for prognostic factors for example by way of the Radiation Treatment Oncology Group recursive portioning analysis (RTOG RPA) is often overlooked [7].
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Chamberlain, M.C. (2007). Chemotherapy for Brain Metastases due to Lung Cancer and Melanoma. In: Raizer, J.J., Abrey, L.E. (eds) Brain Metastases. Cancer Treatment and Research, vol 136. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-69222-7_11
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