A National Consensus Survey for Current Practice in Brain Tumor Management III: Brain Metastasis and Primary Central Nervous System LymphomaA National Consensus Survey for Current Practice in Brain Tumor Management III: Brain Metastasis and Primary Central Nervous System Lymphoma
- Other Titles
- A National Consensus Survey for Current Practice in Brain Tumor Management III: Brain Metastasis and Primary Central Nervous System Lymphoma
- Authors
- Sung Kwon Kim[Sung Kwon Kim]; Ji Eun Park[Ji Eun Park]; Kyung Hwan Kim[Kyung Hwan Kim]; Jin Mo Cho[Jin Mo Cho]; 문장섭[문장섭]; Wan-Soo Yoon[Wan-Soo Yoon]; 김세훈[김세훈]; 김영일[김영일]; 김영준[김영준]; Ho Sung Kim[Ho Sung Kim]; 도윤식[도윤식]; Jae-Sung Park[Jae-Sung Park]; 윤홍인[윤홍인]; 서영범[서영범]; Kyoung-Su Sung[Kyoung-Su Sung]; 송진호[송진호]; Chan Woo Wee[Chan Woo Wee]; Se-Hoon Lee[Se-Hoon Lee]; Do Hoon Lim[Do Hoon Lim]; 임정호[임정호]; 장종희[장종희]; 한명훈[한명훈]; 홍제범[홍제범]; Kihwan Hwang[Kihwan Hwang]; Chul-Kee Park[Chul-Kee Park]; 이연수[이연수]; 곽호신[곽호신]; KSNO Guideline Working Group[KSNO Guideline Working Group]
- Issue Date
- 2020
- Publisher
- 대한뇌종양학회
- Keywords
- Korean Society for Neuro-Oncology; Practice patterns; Brain tumors; Metastasis; Lymphoma; Guideline Working Group
- Citation
- Brain Tumor Research and Treatment, v.8, no.1, pp.20 - 28
- Indexed
- KCI
- Journal Title
- Brain Tumor Research and Treatment
- Volume
- 8
- Number
- 1
- Start Page
- 20
- End Page
- 28
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/93877
- ISSN
- 2288-2405
- Abstract
- Background: The Guideline Working Group of the Korean Society for Neuro-Oncology (KSNO) conducted the nationwide questionnaire survey for diverse queries facing to treat patients with brain tumor. As part III of the survey, the aim of this study is to evaluate the national patterns of clinical practice for patients with brain metastasis and primary central nervous system lymphoma (PCNSL).
Methods: A web-based survey was sent to all members of the KSNO by email. The survey included 7 questions of brain metastasis and 5 questions of PCNSL, focused on the management strategies in specific situations. All questions were developed by consensus of the Guideline Working Group.
Results: In the survey about brain metastasis, respondents preferred surgical resection with adjuvant treatment for patients with a surgically accessible single brain metastatic lesion less than 3 cm in size without extracranial systemic lesions. However, most respondents considered radiosurgery for surgically inaccessible lesions. As the preferred treatment of multiple brain metastases according to the number of brain lesions, respondents tended to choose radiotherapy with increasing number of lesions Radiosurgery was mostly chosen for the brain metastases of less than or equal to 4. In the survey about PCNSL, a half of respondents choose high-dose methotrexate-based polychemotherapy as the first-line induction therapy for PCNSL. The consolidation and salvage therapy showed a little variation among respondents. For PCNSL patients with cerebrospinal fluid dissemination, intrathecal chemotherapy was most preferred.
Conclusion: The survey demonstrates the prevailing clinical practice patterns for patients with brain metastasis and PCNSL among members of the KSNO. This information provides a point of reference for establishing a practical guideline in the management of brain metastasis and PCNSL.
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