Brain Metastasis Surgery & Radiosurgery
Brain metastases are cancers that began elsewhere — most commonly lung, breast, melanoma, kidney or colon — and spread to the brain. They are the most common type of brain tumor in adults, and treatment has improved dramatically in the past decade.
Today, most patients are treated with focused radiosurgery, surgery, or a combination, while continuing systemic therapy. Dr. Daggubati works directly with your medical and radiation oncologists so brain treatment fits into your overall cancer plan rather than interrupting it.
Symptoms
- Headaches
- Seizures
- Weakness, numbness or balance trouble
- Confusion or speech difficulty
- Often none — found on staging scans
How it is diagnosed
MRI with contrast. If no cancer diagnosis is known, surgery may also serve to establish the diagnosis.
Treatment options
Without surgery
Stereotactic radiosurgery is the primary treatment for many metastases. Some systemic and immune therapies now penetrate the brain effectively.
Surgical options Dr. Daggubati offers
- Minimally invasive resection for large, symptomatic or single lesions
- LITT for lesions that recur after radiation or radiation necrosis
- Radiosurgery, alone or after surgery
Common questions
Does surgery delay my chemotherapy?
Usually only briefly. Minimally invasive techniques and early recovery protocols mean most patients resume systemic treatment within a few weeks; we coordinate timing with your oncologist.
What if the tumor comes back after radiation?
Recurrence and radiation necrosis can look alike on MRI. LITT is a minimally invasive option that treats both and provides tissue for diagnosis.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.