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Neurosurgical Interventions for Intracranial Metastases

Abstract

In any neurosurgical material among the space-occupying neoplastic lesions in the brain there is an average frequency between 3 and 5% of deposits from malignant tumors of extracranial origin, i.e. metastases1,2,7. Definite regularities exist as regards the frequency with which particular tumors give rise to cerebral metastases and likewise as regards the incidence of solitary metastases (about 50% of cases), while in about a half of these patients we find several metastases. These lesions can involve the cerebral hemispheres, as well as the cerebellum and the brain stem26,28.

Keywords

Brain Metastasis Cerebral Metastasis Metastatic Brain Tumor Solitary Metastasis Intracranial Metastasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Black P (1979) Brain metastasis: Current status and recommended guide-lines for management. Neurosurgery 5: 617–631PubMedCrossRefGoogle Scholar
  2. 2.
    Bremer AM, West CR, Didolkar MS (1978) An evaluation of the surgical management of melanoma of the brain. J Surg Oncol 10: 211–219PubMedCrossRefGoogle Scholar
  3. 3.
    Bushe K-A (1972) Intrakranielle Metastasen. Langenbecks Arch Chir 332: 369–375PubMedCrossRefGoogle Scholar
  4. 4.
    Bushe K-A (1983) Operative Therape. In: Krauseneck P, Mertens HG (Hrsg) Therapie maligner Neoplasien des Gehirns. Perimed, Erlangen, S 29–33Google Scholar
  5. 5.
    Capon A, Hildebrand J, Verbist J, Frühling J, Baleriaux D (1976) Changes in regional blood flow producted by dexamethasone in patients with brain metastases. Acta Neurol Belg 76: 325–330PubMedGoogle Scholar
  6. 6.
    Fell DA, Leavens ME, McBride CHM (1980) Surgical versus non-surgical management of metastatic melanoma of the brain. Neurosurgery 7: 238–242PubMedCrossRefGoogle Scholar
  7. 7.
    French LA, Ausman JI (1977) Metastatic neoplasma to the brain. Clin Neurosurg 24: 41–46PubMedGoogle Scholar
  8. 8.
    Galicich JH, Sundaresan N, Arbit E, Passe S (1980) Surgical treatment of single brain metastases: factors associated with survival. Cancer 45: 381–386PubMedCrossRefGoogle Scholar
  9. 9.
    Haar F, Patterson RH jr (1972) Surgery for metastatic intracranial neoplasms. Cancer 30: 1241–1245Google Scholar
  10. 10.
    Heimpel H, Herfarth C, Schreml W (eds) (1980) Metastasen. Huber, Bern Stuttgart WienGoogle Scholar
  11. 11.
    Jänisch W, Günthert H, Schreiber D (1976) Pathologie der Tumoren des Zentralnervensystems. Fischer, JenaGoogle Scholar
  12. 12.
    Karrer K, Fleischmann E, Hochpöchler F (1984) Site of the primary in intracranial metastases. Adv Neurosurg 12: 10–14CrossRefGoogle Scholar
  13. 13.
    Lang EF, Slater J (1964) Metastatic brain tumors. Results of surgical and nonsurgical treatment. Surg Clin North Amer 44: 865–872Google Scholar
  14. 14.
    MacGee EE (1971) Surgical treatment of cerebral metastases from lung cancer. J Neurosurg 35: 416–420PubMedCrossRefGoogle Scholar
  15. 15.
    Magilligan DJ Jr, Rogers JS, Knighton RS, Davila JC (1976) Pulmonary neoplasm with solitary cerebral metastasis. J Thorac Cardiovasc Surg 72: 690–696PubMedGoogle Scholar
  16. 16.
    Penzholz H (1968) Die metastatischen Erkrankungen des Zentralnervensystems bei bösartigen Tumoren. Acta Neurochir (Wien) [suppl] 16Google Scholar
  17. 17.
    Penzholz H (1984) Surgical management of metastatic brain tumors. Adv Neurosurg 12: 3–9CrossRefGoogle Scholar
  18. 18.
    Posner JB (1974) Diagnosis and treatment of brain metastases. Clin Bull 4: 47–57PubMedGoogle Scholar
  19. 19.
    Potthoff PC, Keim H (1984) Comparison of radiotherapy alone compared with surgery plus irradiation in two groups of patients with brain metastases. Adv Neurosurg 12: 7986Google Scholar
  20. 20.
    Ransohoff J (1975) Surgical management of metastatic tumors. Sem Oncol 4: 21–27Google Scholar
  21. 21.
    Raskind R, Weiss SR, Manning JJ, Wermuth RE (1971) Survival after surgical excision of single metastatic brain tumors. Amer J Roentgenol 111: 323–328PubMedGoogle Scholar
  22. 22.
    Schnaberth G, Brunner G (1982) Zerebrale Metastasen als klinische Erstmanifestation eines Karzinoms. Wien Klin Wschr 94: 83–86PubMedGoogle Scholar
  23. 23.
    Simionescu MD (1960) Metastatic tumors of the brain. A follow-up study of 195 patients with neurosurgical considerations. J Neurosurg 17: 361–373PubMedCrossRefGoogle Scholar
  24. 24.
    Störtebecker TP (1954) Metastatic tumors of the brain from a neurosurgical point of view. A. Follow-up study of 158 cases. J Neurosurg 11: 84–111PubMedCrossRefGoogle Scholar
  25. 25.
    Tarnoff JF, Calinog TA, Byla JG (1976) Prolonged survival following cerebral metastasis from pulmonary cancer. J Thoracic Cardiovasc Surg 72: 933–937Google Scholar
  26. 26.
    Tornow K, Voigt M (1984) Computer tomographic diagnosis of intracranial metastases. Adv Neurosurg 12: 15–18CrossRefGoogle Scholar
  27. 27.
    Vieth RG, Odom GL (1965) Intracranial metastases and their neurosurgical treatment. J Neurosurg 23: 375–383PubMedCrossRefGoogle Scholar
  28. 28.
    Weiss LG, Gilbert HA, Posner JB (1980) Brain metastasis. G K Hall, BostonCrossRefGoogle Scholar
  29. 29.
    Winston KR, Walsh JW, Fischer EG (1980) Results of operative treatment of intracranial metastatic tumors. Cancer 45: 2639–2645PubMedCrossRefGoogle Scholar
  30. 30.
    Zimm S, Wampler GL, Stablein D, Hazra T, Young HF (1981) Intracerebral metastases in solid-tumor patients: natural history and result of treatment. Cancer 48: 384–394PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1987

Authors and Affiliations

  • D. Voth
    • 1
  1. 1.Department of NeurosurgeryUniversity of Mainz School of MedicineMainzFederal Republic of Germany

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