How to Approach Treatment After Brain Metastasis from Kidney Cancer Surgery?

Surgical resection is the main treatment method for kidney cancer with brain metastasis. If the patient's physical condition is poor and cannot tolerate surgery, radiotherapy, chemotherapy, and other methods need to be adopted to control the disease. Here are the treatment options:

Surgical Treatment

1. Radical nephrectomy: For solitary localized brain metastases, complete or subtotal resection of the tumor can be performed, along with nephrectomy.

2. Palliative radical nephrectomy: For patients with bilateral renal cancer with extensive intracranial metastasis, palliative radical nephrectomy can be performed, removing the affected kidney and ipsilateral lymph nodes to alleviate symptoms and prolong survival.

3. Renal artery embolization: For patients who cannot tolerate or refuse surgery, this method can be adopted to induce tumor ischemia and necrosis, reducing the tumor size and creating conditions for further surgery.

Radiation Therapy

For advanced kidney cancer patients with brain metastasis who are not suitable for surgery, gamma knife or X-ray knife local irradiation can be used, which has a certain effect on alleviating symptoms.

Chemotherapy

Commonly used drugs include cyclophosphamide injection, cisplatin injection, etc., suitable for patients who are not suitable for surgery or radiotherapy. These drugs can inhibit tumor cell growth, reduce tumor volume, and improve quality of life.

Targeted Drug Therapy

Commonly used targeted drugs include sunitinib, sorafenib, cabozantinib, etc. These drugs can achieve anti-tumor effects by blocking angiogenesis pathways.

When kidney cancer metastasizes to the brain, it usually indicates that the disease has entered the middle to late stage. It is recommended to seek medical attention promptly and select the appropriate treatment plan under the guidance of a doctor.