النقيلة الدماغية المستمرة في ورم الخلايا الجرثومية بالخصية — عند عدم تحقيق العلاج الكيميائي القائم على السيسبلاتين للاستجابة الإشعاعية

References

• Brain metastases occur in the context of initial metastatic disease, systemic relapse and rarely as an isolated site of relapse.
• Chemotherapy as initial treatment proved effective in a first-line setting (potentially even as dose-intensified therapy upfront) with data also supporting the use of multimodal treatment particularly in relapsed disease.
• Surgery may be considered in cases with a persistent solitary metastasis, depending on the systemic disease status, histology of the primary tumour and the location of the metastasis.