Surgery is one treatment option available for treating brain metastases. It is important to know what to expect during recovery, as well as risks and side effects associated with brain metastases surgery.
- Brain metastases surgery happens in a hospital and requires a stay of approximately three days.
- Expect activity restrictions for 4-8 weeks following brain metastases surgery.
- Risks and side effects include reactions to anesthesia, bleeding, pain, infection and neurological deficits.
- Minimally invasive treatment options are available to patients in the tri-state area as an alternative to brain metastases surgery.
Brain Metastases Surgery and You
Learning you have metastatic brain cancer can be a difficult process. Taking the time to learn more about your condition and treatment options is a great way to provide peace of mind, helping reduce some of the stress you may be feeling. Developing your knowledge and becoming familiar with terminology will help you in conversations with your medical team and will allow you to play a more active role in your care.
The following information will help you better understand brain metastases surgery, including what to expect during the recovery period and the risks and side effects of the procedure. This information can be useful whether you are still in the treatment planning phase or already have a procedure scheduled.
Overview of Brain Metastases
Brain metastases are different from other brain tumors because they arise from sites outside of the brain, such as the lung or breast. This means they are secondary tumors, as opposed to primary brain tumors like glioma. Sometimes brain metastases are discovered before the primary cancer, and you may need to undergo a biopsy to determine the origin of your brain metastases. Your doctor will make treatment recommendations based on the type of cells present, as well as the size and location of your tumor, how many tumors you have and your personal health factors.
Surgery for Brain Metastases
Not all patients will require brain metastases surgery. However, your doctor may recommend surgery if:
- Your tumor is in an accessible area
- You are a good surgical candidate
- Your tumor is large and cannot be treated by other methods alone
Sometimes a doctor will only remove a portion of the brain metastases because complete removal risks damaging delicate structures. Even if your doctor is able to remove all of the metastases, you will still need to undergo radiation therapy to ensure all the cancer cells have been eradicated.
Brain metastases surgery takes place in a hospital, and you will be asleep and comfortable through the entire procedure. The surgery involves two distinct steps. First, the neurosurgeon will perform a craniotomy, removing a small section of bone to provide access to your brain metastases. Once the metastases are removed, the bone is replaced and the soft tissues are closed using sutures or staples. When the procedure is complete, you will be moved to the intensive care unit to begin your recovery.
The initial stage of your recovery begins immediately following surgery. As you wake up from anesthesia, your care team will monitor your recovery in the recovery room. Once your vital signs are stabilized, you will be transferred to the ICU. You will spend a day or two in the ICU and spend the rest of your stay on a general floor. Most patients spend approximately three days recovering in the hospital following brain metastases surgery, though this will depend on your individual condition.
As you begin your recovery at home, you will be placed on activity restrictions, limiting things like exercise and lifting heavy objects. You may also be restricted from driving for a period of time. Again, your recovery will be a very individual process. However, most patients will be on restrictions for 4-8 weeks following brain metastases surgery.
Risks & Side Effects
Your doctor will consider all risks and side effects before recommending any treatment and will only recommend surgery if the benefits outweigh the risks. Your doctor will discuss all risks and side effects as they relate to your individual case during the treatment planning process. Risks and side effects to be considered include:
General surgical risks:
- Complications from anesthesia/surgery (such as pneumonia or blood clots)
Brain metastases surgery risks:
- Temporary or permanent neurological damage
- Bleeding and blood clots, leading to stroke
- Local recurrence or recurrence distal to the operative site
Minimally Invasive Alternatives
In addition to surgery, there are minimally invasive treatments available for NJ patients with brain metastases. These include Gamma Knife radiosurgery and whole brain radiation therapy. Gamma Knife radiosurgery is an advanced form of radiation treatment that can destroy tumor cells with fewer side effects than whole brain radiation. Gamma Knife uses almost 200 individual beams of low-dose radiation, which combine to effectively treat cancer cells without damaging healthy tissues. Whole brain radiation, targets the entire brain and is typically used in select cases where Gamma Knife radiosurgery is not possible.
Many NJ patients who are candidates for surgery can also be treated using Gamma Knife radiosurgery. Your doctor will consider your individual condition and determine whether or not Gamma Knife radiosurgery would be an effective treatment option for your particular case. Gamma Knife radiosurgery can also be a great option for patients who are not eligible for surgery due to complicating health conditions or an inaccessible tumor.
The Right Treatment for You
Now that you have a deeper understanding of brain metastases surgery, it is important to continue the discussion with your personal doctor. He or she will be the best person to relate the information you have learned here to your specific condition. As you move through the treatment process, keep educating yourself and developing your understanding of your condition. Knowledge can promote calmness during a stressful time, helping you remain focused on the healing process when your body needs it most.