Radiosurgery has been used effectively in treating multiple lesions as an upfront therapy; therefore, there is no reason to doubt it will not be able to control local diseases around the resection cavity if an adequate marginal dose is achievable; thus, reserve WBRT to be used in distance relapse with multiple lesions, local progression, or in cases in which leptomeningeal spread is suspected. It is also possible to perform re-resection in cases in which local progression is evidenced, as well as in cases in which the differentiation of local recurrence and radiation necrosis is not possible.
Help I have a friend who is a gym goer Im not sure of his quantity or how long he has been taking steroids, but stopped recently because he had really bad neck pain. No dr or scan, ultrasound etc showed anything. Put on huge pain killer amounts didnt help alot but felt after about six weeks some relief. Until today when he thinks a prior knee issue has flared up. If this a result of steroid abuse how long before it heals? Im pretty sure he wont touch them again. He can handle all over aches and pains but these last two injuries have had him off work.