SIX-MONTH OUTCOMES OF COMBINED GAMMA KNIFE RADIOSURGERY AND TKIs FOR BRAIN METASTASES IN PATIENTS WITH NON-SMALL CELL LUNG CANCER
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Abstract
Objectives: To evaluate the 6-month outcomes of a combined regimen of Gamma Knife radiosurgery and tyrosine kinase inhibitors (TKIs) in patients with brain metastases from non-small cell lung cancer (NSCLC). Methods: A longitudinal observational study was conducted on 74 patients with NSCLC-related brain metastases treated at Viet Nam National Cancer Hospital from February 2021 to December 2024. Results: At a six-month follow-up, 56.4% of patients with an initial Karnofsky Performance Status (KPS) of 70 - 80 improved to 90 - 100 (p < 0.01). The intracranial response rate was 79.7%, with 32.4% of patients achieving a complete response. Total tumor volume and the number of radiosurgery fractions were significantly correlated with the treatment response (p < 0.01). Conclusion: The combination of Gamma Knife radiosurgery and TKIs significantly improved both the overall clinical status and provided intracranial disease control for NSCLC patients and brain metastases after 6 months of treatment.
Keywords
Non-small cell lung cancer, Brain metastases, Gamma Knife radiosurgery, TKIs
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References
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