Nieder Carsten, Grosu Anca L, Grzadziel Alexandra, Schlegel Jurgen, Molls Michael
Department of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675 Munich, Germany.
Am J Clin Oncol. 2004 Dec;27(6):632-4. doi: 10.1097/01.coc.0000146017.74327.7c.
A 67-year-old patient with metastatic renal cell cancer was treated with fractionated stereotactic radiotherapy to a hemorrhagic pons metastasis. He then developed multiple cystic brain lesions, suggestive of diffuse metastatic spread. However, further work-up revealed abscesses from bronchopneumonia. Diagnostic and therapeutic aspects as well as potential pitfalls in the management of patients with brain metastases are discussed.