The key to the treatment of brain metastasis is early detection and control; ●Treatment by various methods such as drugs and surgery can prolong the life of patients and reduce the pain of survival; ●Neurosurgery is becoming increasingly minimally invasive and can operate on the brain without craniotomy. He was recently diagnosed with advanced lung cancer and had a brain metastasis. In the face of the treatment plan proposed by the doctor, Liang’s family was in a dilemma: the Liang family is not well-off, and they heard that if the tumor has metastasized to the brain, the patient will not live long with or without treatment. Indeed, when it comes to brain metastasis, many people would think that it is the “desperate situation” for cancer patients, which means death is at hand. Then, is brain metastasis still treatable? Is it worthy of treatment? How should it be treated? With these questions, the reporter interviewed relevant experts. Lung cancer is most prone to brain metastasis: intracranial metastasis refers to the metastasis of malignant tumors from other parts of the body into the skull, which accounts for about 20% to 40% of cancer patients, mostly seen in middle-aged and elderly people aged 40 to 60. The common primary lesions of brain metastasis are from lung, breast, gastrointestinal tract, genitourinary system, skin malignant melanoma, etc. Among them, lung cancer is the most common, accounting for about 75% of metastases, so patients with lung cancer in general should pay special attention to the possibility of brain metastasis. “When tumors metastasize to brain tissue, symptoms of cranial hypertension, such as headache, nausea and vomiting, blurred vision, usually appear because of tumor occupancy and brain edema reaction.” Peng Biao said some patients will also have seizures, while others will have mental abnormalities, personality changes and memory loss due to the tumor growing in the frontal lobe. “We have encountered many cases in our clinic where the family members visited the doctor because they found that the patient had been silent and depressed for a period of time, and then the tumor brain metastasis was found.” In addition to this, brain metastasis is more common because the tumor has metastasized to important functional areas of the brain, resulting in hemiparesis of limbs and loss of pain and touch sensation. In general, the manifestation of tumor metastasis to the brain varies depending on the size, location and growth rate of the tumor. Neurosurgery can relieve patients’ pain: Like Liang’s family, many people lost their confidence in treatment after learning that the tumor has metastasized to the brain, thinking that the tumor has invaded the brain and there is no hope of treatment, thus almost despairing of the prospect. “This is a misunderstanding,” Peng Biao stressed, often it is such understanding that delays the treatment and even aggravates the disease. Although tumor brain metastasis is a new situation of the disease, there are still many ways to treat it, such as you can choose to remove the metastasis, local decompression, combined with ordinary radiotherapy, chemotherapy, r-knife treatment, x-knife treatment and so on. “There are of course medications to control brain edema and seizures, etc. These treatments vary depending on the size, location, number and condition of the tumor and have good results in improving the survival rate and quality of life of patients.” In addition, some tumor patients who are troubled by severe cancer pain for a long time and who are not effectively treated by multiple protocols of pain medications can also choose neurosurgery to solve the problem, such as long-term, persistent and severe pain caused by gynecological cancer and abdominal cancer, which can be significantly relieved by posterior spinal cordotomy to improve the quality of life. Brain surgery has become increasingly minimally invasive: When it comes to neurosurgery, many patients think that they have to make an incision in their heads and feel both unfamiliar and scared. “In fact, brain surgery, like surgery on other organs, has operational specifications and technical essentials, and has developed more and more mature.” Not only that, but with the development of microscopic and minimally invasive technology, brain surgery is becoming less and less invasive today. Although craniotomy is the classic method of brain surgery, the current trend is micro-invasive, such as the application of neuro-microscope, which greatly reduces the trauma of surgery; neuro-endoscopy can be applied to deep tumors; “lock hole” technology greatly reduces the incision of surgery, sometimes the size of a coin; stereotactic technology only needs to drill a small Other techniques that do not require craniotomy, such as r-knife and x-knife, can also achieve good therapeutic results for lesions of specific size and location.