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Case Report



Are brain metastases curable? Case report and a brief review of the literature

Juan Enrique Gutierrez Valencia, Adrian Valles-Quintanilla, Jesús Alberto Fuentes-Lara, Alejandro Solórzano-Meléndez, Luis Héctor Bayardo-Lopez, Edgar Hiram Muñoz-Miramontes.




Abstract
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Background: Most of the times the prognosis of the patients with cancer who develop brain metastases remains incurable and hopeless with a median survival that goes between 2.7 and 15.07 month according to Grade Prognostic Assessment (GPA) Score for brain metastasis. Case summary: The following is a case report of a 33-year-old patient that presented with breast cancer and after one year of follow-up she developed one single brain metastases treated aggressively with surgery, whole brain radiotherapy (WBRT) 30 Gy in 10 Fractions and Stereotactic Radiosurgery (SRS) 22 Gy who achieved complete response and after more than 6 years since treatment the patient continues free of disease. Conclusion: An aggressive treatment for brain metastases in well-selected patients provides long periods of free intracranial disease, with acceptable results in the quality of life.

Key words: Brain metastases, Whole Brain Radiotherapy (WBRT), Stereotactic Radiosurgery (SRS), Breast cancer






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