Evaluation of the Best Treatment in Terms of Quality of Life for Patients Having a Brain Metastasis

Evaluation of the Best Treatment in Terms of Quality of Life for Patients Having a Brain Metastasis

Main Goal : evaluation of quality of life for patient having a brain metastasis and allowed to have either surgery and radiosurgery of the surgical site or only hypofractionned radiosurgery on the lesion.

second objectives : evaluation of the local control of the disease evaluation of the overall survival interval without progression evaluation of the medico economic performance of each treatment protocol neuro cognitive evaluation at the end of the protocol

A patient with a brain metastasis may have the choice between surgery and focal radiosurgery of the surgical site and only hypofractionned radiosurgery on the lesion.

No previous study has focused on quality of life regarding these two treatments options.

Inclusion Criteria:

• eligible for both treatments options OMS status <3 primary cancer with no evolution brain metastasis < 3cm ou giving symtoms patient with informed consent patient affilated to french social security

Exclusion Criteria:

• OMS > 3 More than 3 brain metastasis brain metastasis already treated with hypofractionned radiosurgery