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Luciano M. Modesti, MD; Robert A. Feldman, MD

JAMA. 1975;231(10):1064.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE OUTLOOK for patients with cerebral metastasis of bronchogenic carcinoma is highly unfavorable.^1-2 Patients who have not been operated on have an average life expectancy of three months after the onset of the cerebral symptoms,¹ and the operative mortality of cerebral metastases is as high as 38%.³ In cases where surgery is apparently instrumental in prolonging life, the quality of survival may be poor.¹ These findings, coupled with the knowledge that cerebral metastases are often multiple,^3-4 have led some authors to conclude that surgery should not be considered the treatment of choice for cerebral metastasis of lung carcinoma.⁴

On the other hand, innumerable cases of prolonged, good quality survival following surgery can be found in the literature.^1-3,5 Rarely, there are reports of apparent cures in which patients have lived five years or more beyond craniotomy. This communication reports just such a case.

Report . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurosurgery, Veterans Administration Hospital, and the State University of New York, Upstate Medical Center, Syracuse, NY.

Footnotes
Reprint requests to Department of Neurosurgery, State University of New York, Upstate Medical Center, 750 E Adams St, Syracuse, NY 13210 (Dr. Modesti).

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