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Brain Metastases — SCE Medical Oncology MCQ

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EasyLung CancerBrain MetastasesSCE Medical Oncology

A 55-year-old woman with stage IV NSCLC develops a single 2.5 cm brain metastasis while on immunotherapy. Extracranial disease is controlled. What is the preferred local treatment?

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Correct answer: E — Stereotactic radiosurgery

For limited brain metastases (1-4, each ≤3-4 cm) with controlled systemic disease, SRS provides equivalent control to WBRT while preserving neurocognition (EORTC 22952).

Reference: NICE NG99 Brain tumours; ESMO 2024 Brain Metastases Guidelines