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Adjuvant Whole-Brain Radiation Therapy Compared With Observation After Local Treatment of Melanoma Brain Metastases: A Multicenter, Randomized Phase III Trial
Author(s) -
Angela Hong,
Gerald Fogarty,
Kari Dolven-Jacobsen,
Bryan Burmeister,
Serigne Lo,
Lauren E. Haydu,
Janette Vardy,
Anna K. Nowak,
Haryana M. Dhillon,
Tasnia Ahmed,
Brindha Shivalingam,
Georgina V. Long,
Alexander M. Menzies,
George Hruby,
Katharine J. Drummond,
Catherine Mandel,
Mark R. Middleton,
Claudius H. Reisse,
Elizabeth Paton,
Victoria Steel,
Narelle Williams,
Richard A. Scolyer,
Rachael L. Morton,
John F. Thompson
Publication year - 2019
Publication title -
journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 10.482
H-Index - 548
eISSN - 1527-7755
pISSN - 0732-183X
DOI - 10.1200/jco.19.01414
Subject(s) - medicine , radiosurgery , radiation therapy , randomized controlled trial , clinical endpoint , odds ratio , melanoma , brain metastasis , adjuvant , surgery , oncology , cancer , metastasis , cancer research
The brain is a common site of metastasis for patients with high-risk melanoma. Although surgery or stereotactic radiosurgery are highly effective local treatments for a small number of metastases, there is a high risk of developing additional brain metastases. The role of adjuvant whole-brain radiotherapy (WBRT) in reducing new metastases is controversial, with a lack of high-level evidence specifically for melanoma.

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