Current neurosurgical concepts in the resection of cerebral metastases

Background Cerebral metastases are among the most common intracranial tumors in adults. In recent years, the incidence of oncological patients diagnosed with cerebral metastases in the course of their disease has increased significantly. In particular, the position of the metastasis resection has changed in the overall therapeutic concept and has increased in importance, especially for extending the life expectancy of the patient. Objectives Presentation of the current neurosurgical resection concept in the context of multicenter, patient-individualized, neuro-oncological therapy. Results Current studies show a survival benefit from resecting cerebral metastases, even in patients with multiple metastases. Thanks to technical innovation, it is also possible to safely resect metastases that are eloquently located. Conclusion Therapy of oncological patients with cerebral metastases is multidisciplinary. If possible, the supramarginal resection of the metastases should precede radiotherapy options.

Automated summary

Cerebral metastases are common intracranial tumors in adults. Resection surgery can extend the survival of patients, even for metastases located in eloquent areas.