Table 1. . Summary of key neurosurgery studies.
Study | No. of BMs | No. of patients (% melanoma) | Treatment (n) | Local control (%) | Median functionally independence survival | Median overall survival | Ref. |
---|---|---|---|---|---|---|---|
Patchell et al. | Solitary | 48 (6) | Surgery + WBRT (25) WBRT |
20† 52† |
38 weeks† 8 weeks† |
40 weeks† 15 weeks† |
[18]‡ |
Vecht et al. | Solitary | 63 (10) | Surgery + WBRT (32) WBRT |
NR | 7.5 months§ 3.5 months§ |
10 months† 6 months† |
[19]‡ |
Mintz et al. | Solitary | 84 (5) | Surgery + WBRT (41) WBRT |
NR | No difference | 6.28 months 5.62 months |
[20]‡ |
Bindal et al. | Multiple | 56 (45) | Resection of some BMs (30) Resection of all BMs (26) Matched control (solitary BM) (26) |
NR 4¶ 8¶ |
NR | 6 months† 14 months† 14 months |
[21]# |
Konstadoulakis et al. | Mixed | 136 (100) | Surgery (32) WBRT or chemotherapy or both (75) No therapy (29) |
NR | NR | 6.67%†,†† 3.45%†,†† |
[22] |
†Statistically significant difference.
‡Randomized.
§p = 0.06.
¶Percentage local relapse.
#Retrospective.
††At 1 year.
BM: Brain metastases; NR: Not reported; WBRT: Whole brain radiotherapy.