title: Brain metastases in renal cell cancer: diagnostic and therapeutic aspects.
abstract: A 67-year-old patient with metastatic renal cell cancer was treated with fractionated stereotactic radiotherapy to a hemorrhagic pons metastasis. He then developed multiple cystic brain lesions, suggestive of diffuse metastatic spread. However, further work-up revealed abscesses from bronchopneumonia. Diagnostic and therapeutic aspects as well as potential pitfalls in the management of patients with brain metastases are discussed.
authors.affiliation: Department of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675 Munich, Germany. cnied@hotmail.com
authors.forename: Carsten
authors.initials: C
authors.lastname: Nieder
authors.forename: Anca L
authors.initials: AL
authors.lastname: Grosu
authors.forename: Alexandra
authors.initials: A
authors.lastname: Grzadziel
authors.forename: Jurgen
authors.initials: J
authors.lastname: Schlegel
authors.forename: Michael
authors.initials: M
authors.lastname: Molls
mesh_terms: D000368:Aged; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001922:Brain Abscess / Q000150:complications; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis / Q000532:radiotherapy* / Q000556:secondary*; D001996:Bronchopneumonia / Q000150:complications; D003131:Combined Modality Therapy; D003907:Dexamethasone / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000473:pathology*; D008175:Lung Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000556:secondary; D008297:Male
chemical_list: D018931:Antineoplastic Agents, Hormonal; D003907:Dexamethasone