Table 4

Individual course of disease of BM patients

Patient

MSKCC risk group

ECOG performance status at diagnosis of BM

Extracerebral metastatic site

TX prior first TA

Time from primary metastasis to BM

(months)

BM-TX

CNS recurrence during/after TA

First TA

Best Response

PFS

Following TX lines

OS

Progressing metastatic site leading to death


1

fav

0

Lung

Cytokines

0

surg

no

SU

CR

24.2

Ongoing

24.2

non progressing and alive


2

interm

0

Lung

Cytokines, Capecitabin

45

surg

no

Beva

SD

8.7

SU

Soraf

Tems

Tems+Beva

46.9

non progressing and alive


3

interm

1

lung, LN

no

0

surg, WBRT

no

SU

SD

8.5

ongoing

8.5

non progressing and alive


4

interm

1

lung, other

Cytokines

72

SR

no

Beva

SD

21.6

SU, Tems

36.9

lung, liver


5

fav

0

liver, bone, other

Cytokines, Navelbine

27

WBRT, SR

yes (progression in lesion size)

Soraf

PD

2.6

SU

13.42

lung.


6

interm

1

other

no

0

SR, WBRT

yes (progression in lesion size)

SU

PD

3.4

Tems, Beva +Interferon

10.16

Liver


7

interm

0

Ln

no

0

WBRT

no

SU

PR

3.26

Soraf

18.82

non progressing and alive


8

interm

1

lung

no

0

Surg, SR

no

SU

SD

12.1

SU

40.6

non progressing and alive


9

interm

1

lung, liver, other

no

0

SR

no

Tems

SD

6.3

no

6.3

liver, lung


10

interm

0

lung, ln

no

8

WBRT

no

Soraf

PR

10.9

no

10.9

Lung


11

interm

0

lung, other

Cytokines, Navelbine

14

Surg,WBRT

yes (relapse of resected lesion and new lesions)

SU

SD

3.8

no

3.8

cranial vertebral fractures


12

poor

2

bone

no

0

WBRT

No

SU

SD

6.7

no

6.7

Lung


MSKCC = Memorial Sloan-Kettering Center Center

fav = favourable risk

interm = intermediate risk

poor = poor risk

ECOG = Eastern Cooperative Oncology Group

TX = treatment

TA = targeted agent

BM = brain metastasis

SR = stereotactic radiation

WBRT = whole brain radiation therapy

Surg = surgery

SU = Sunitinib

Soraf = Sorafenib

Tems = Temsirolimus

Beva = Bevacizumab

CR = complete remission

PR = partial remission

SD = stable disease

PD = progressive disease

PFS = progression free survival

OS = overall survival

Vogl et al. BMC Cancer 2010 10:480   doi:10.1186/1471-2407-10-480

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