Table III.
Patients | Cohort | Tumor size (cm) | Pattern of failure | Time to failure (months) | Salvage treatment | Outcome |
---|---|---|---|---|---|---|
1 | No prior WBRT | 3.9 X 3.0 | Local and distant | 8.2 | WBRT: 30 Gy/10 with simultaneous boost to GTV of 40 Gy/10 | Died 2 months post-salvage from systemic disease, brain locally controlled |
2 | No prior WBRT | 3.4 X 3.6 | Local | 2.4 | WBRT: 20 Gy/5 with simultaneous boost to GTV of 25 Gy/5 | Died 6 months post-salvage from CNS disease progression |
3 | No prior WBRT | 2.5 X 2.5 | Local | 6.0 | SRT: 30 Gy/5 | Locally controlled 1 month post-SRT |
4* | Prior WBRT | 3.7 X 3.8 | Local and distant | 2.2 | Surgery alone | Died 3 months post-salvage from CNS disease progression |
5* | Prior WBRT | 3.5 X 2.9 | Local | 13.9 | Surgery alone | Locally controlled at 4 months |
6 | Prior WBRT | 2.5 X 2.4 | Local | 6.0 | None | Died from CNS disease progression |
7* | Prior WBRT | 4.3 X 2.9 | Local | 8.0 | Surgery plus WBRT 25 Gy/10 | Locally controlled at 5 months |
*Patients with resistant disease having had prior surgery followed by WBRT +/− further SRS and subsequently locally relapsed and treated with re-excision and HCSRT, WBRT refers to whole brain radiotherapy, CNS refers to central nervous system, SRT refers to stereotactic radiotherapy.