26th February 2025

A patient with stage IV caecal adenocarcinoma with known liver, lung and brain metastases presents to the hospital with headaches

A patient with stage IV caecal adenocarcinoma with known liver, lung and brain metastases presents to the hospital with headaches, nausea and vomiting. An MRI head with contrast reveals three ring-enhancing intracranial lesions with associated vasogenic oedema. A diagnosis of brain metastases is made. The patient asks how these might be managed.

Which one of the following would not form part of initial management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.