Table 1. Common LMD etiologies.
Primary-Specific Characteristics of LMD | |||
---|---|---|---|
Primary Cancer | Prevalence of LMD | Prognosis | Additional Treatment Modalities |
Melanoma | 30–75% | Median: 6.9 months | BRAF inhibitors (Vemurafenib and Dabrafenib) and Checkpoint inhibitors (Ipilimumab and Nivolumab) improved survival (16.9 weeks vs. 2.9 weeks) in prospective studies |
NHL | 5–30% | Median: 2.6 months | IT Rituxumab in Phase 1 studies. Prophylaxis with IT chemotherapy. |
NSCLC | 9–25% | Median: 3.5 months | EGFR TKI improved survival if EGFR+ in multiple case reports |
Breast Cancer | 5% | Median: 4.2 months (longer if hormone receptor positive) | High-Dose MTX trial (NCT02422641) pending. IT Trastuzumab if HER2+. |