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A personal view Published in The Lancet Oncology Challenges the long-standing perception of Metastatic Brain Cancer, Calling to Recognize it as a distinct Central Nervous System (CNS) Disease Rather Than a Mere Extension of its primery tumor.
The Perspective, LED by Jawad Fares, MD, Along With Colleagues from Northwestern University, Highlights The Unique Molecular, Genetic, And Microenvironmental Features of Brain IR systemic origins.
“For Decades, Metastatic Brain Cancer has been treated as an afternout, managed primarily with the context of its primery tumor,” said Dr. Fares, a Resident Neurosurgeon and Physician-Scientist at Northwestern University Feinberg School of Medicine.
“However, our growing undersrstanding of the biology of these tumors sugges or research funding, clinical trial design, and ultimately , PATIENT OUTCOMES. “
The Perspective Argues That Metastatic Brain Cancer has distinct biological characteristics Une Survelance, Reprogram Astrocytes, and Alter Metabolic Pathways to Sustain their survival in The brain’s unique environment.
These insights challenge the conventional treatment approach, which often mirrors systemic cancer therapies rather than focusing on the specific vulnerabilites of brain metastases.
Dr. Fares and his co-authors emphasize that failure to the failure to a lads has led to a Lack of Dedicated Research and Clinical Trialorede BioLogy.
“Currently, many trials exclude patients with brain metastases, limiting the development of therapies that specificly target these tumors,” He said. “If we Continue to View Brain Metastases only through the lens of their primary cancer, we Risk Missing Critical Opportunities for Advanceing treatment.”
The authors call for a paradigm shift in research priorities, Urging Increased Funding, Biomarker-Driven Studies, and the Development of CNS-Specific Therapeic thegies. By Treating Brain Metastases as a primary focus rather than a secondary concern, the medical community can drive innovations that improves both survival and quality of life for parties faced this devastating.
“This is a call to action,” said Dr. Fares. “If we redefine metastatic brain cancer as a CNS Disease, We Can Accelerate The Development of Precision Medicine Approaches, Enhance Clinical Trial Design, and, Most Importantly, MOTTERTANTLY. “
More information:
Jawad Fares Et Al, Rethanking Metastatic Brain Cancer as a CNS Disease, The Lancet Oncology (2025). Doi: 10.1016/s1470-2045 (24) 00430-3
Citation: Rethanking Metastatic Brain Cancer as a Central Nervous System Disease (2025, February 4) Retrieved 4 February 2025 from
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