title: [Guideline on brain metastases: not a cookbook].
abstract: The guideline 'Brain Metastases', which was revised on behalf of the Dutch Society for Neuro-Oncology (LWNO), provides an excellent overview of levels of scientific evidence on diagnosis and treatment of patients with parenchymal brain metastases of solid tumours. I would like to emphasize, however, that this guideline is not a cookbook for facilitating individual physicians to treat patients on their own. It is important that every patient suffering from brain metastases is discussed by a multidisciplinary tumour board consisting of at least a neurologist, a neurosurgeon, a medical oncologist, a radiation oncologist, a pathologist and a radiologist, and that several crucial questions need to be explicitly asked and answered about every single patient.
authors.affiliation: Vrije Universiteit Medisch Centrum en Academisch Medisch Centrum, afd. Neurologie, Amsterdam, the Netherlands. jc.reijneveld@vumc.nl
authors.forename: Jaap C
authors.initials: JC
authors.lastname: Reijneveld
mesh_terms: D001932:Brain Neoplasms / Q000517:prevention & control* / Q000556:secondary*; D006801:Humans; D017410:Practice Guidelines as Topic