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Staging of the Brain: “Brainwashed” by Health Economics?

Staging of the Brain: “Brainwashed” by Health Economics? EDITORIAL Staging of the Brain: Brainwashed by Health Economics? Wilfried Eberhardt, MD (J Thorac Oncol. 2006;1: 201–202) hat do we need for staging of lung cancer patients in the new millennium? Some like Wit pure and simple, with only clinical symptoms paving the way. Others would like us to include positron emission tomographic staging in any patient. Based on restricted resources, there is in general a growing trend to include only investigations that are “cost effective” into the staging of lung cancer patients. But where do we really stand in the new millennium? 1. We have learned that systemic treatment for lung cancer has become more effective and is worth delivering to an increasing number of patients spanning the gamut from the advanced to the more early, operable stages. 2. The last 10 years have seen enormous progress in the treatment of single or oligotrophic metastases to the brain with the development of stereotactic radio- therapy and gamma-knife surgery. Although surgery for single brain metastases may be adequate in selective cases, high rates of local control can also be reached with these new techniques. The article by Shi et al. in this Journal gives new arguments and stimulus for http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Thoracic Oncology Wolters Kluwer Health

Staging of the Brain: “Brainwashed” by Health Economics?

Eberhardt, Wilfried
Journal of Thoracic Oncology , Volume 1 (3) – Mar 1, 2006
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1556-0864

Abstract

EDITORIAL Staging of the Brain: Brainwashed by Health Economics? Wilfried Eberhardt, MD (J Thorac Oncol. 2006;1: 201–202) hat do we need for staging of lung cancer patients in the new millennium? Some like Wit pure and simple, with only clinical symptoms paving the way. Others would like us to include positron emission tomographic staging in any patient. Based on restricted resources, there is in general a growing trend to include only investigations that are “cost effective” into the staging of lung cancer patients. But where do we really stand in the new millennium? 1. We have learned that systemic treatment for lung cancer has become more effective and is worth delivering to an increasing number of patients spanning the gamut from the advanced to the more early, operable stages. 2. The last 10 years have seen enormous progress in the treatment of single or oligotrophic metastases to the brain with the development of stereotactic radio- therapy and gamma-knife surgery. Although surgery for single brain metastases may be adequate in selective cases, high rates of local control can also be reached with these new techniques. The article by Shi et al. in this Journal gives new arguments and stimulus for

Journal

Journal of Thoracic Oncology – Wolters Kluwer Health

Published: Mar 1, 2006

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