Brain metastases

Changing management requires a multidisciplinary approach

Brain metastases occur in up to one in five patients with cancer, with solid malignancies originating outside of the central nervous system.

brain scan

Lung, breast, melanoma, renal and colorectal primary tumours are most commonly involved.

Patients may present with symptoms relating to raised intracranial pressure (such as early morning headaches and vomiting) or focal, location-dependent sequelae due to mass effect, oedema, bleeding or seizure activity.

Asymptomatic disease is increasingly common due to increased rates of screening MRI, which has greater resolution than CT for detecting