Haemorrhagic intracranial metastases

Have you inquired with the doc as to what might be causing the brain mets to bleed? Is the patient on Nivo or Pembro? I would speak with a radiation oncologist for the best answers to your questions. Melanoma lesions in the brain are sometimes known to disintigrate or break apart as they die off… not necessarily growing smaller from the edges toward the center. It is entirely possible for radiated brain mets to "bleed out". This becomes a problem if there are too many of them, or they are large. I would be cautious with having targeted radiation therapy if there is already brain bleeding. Edema can also be a side effect of brain radiation, but I have had tumors with a great deal of edema (swollen prior to the radiation) gamma treated effectively.. actually reducing the surrounding edema post treatment as the tissue died off. 

Have you inquired with the doc as to what might be causing the brain mets to bleed? Is the patient on Nivo or Pembro? I would speak with a radiation oncologist for the best answers to your questions. Melanoma lesions in the brain are sometimes known to disintigrate or break apart as they die off… not necessarily growing smaller from the edges toward the center. It is entirely possible for radiated brain mets to "bleed out". This becomes a problem if there are too many of them, or they are large. I would be cautious with having targeted radiation therapy if there is already brain bleeding. Edema can also be a side effect of brain radiation, but I have had tumors with a great deal of edema (swollen prior to the radiation) gamma treated effectively.. actually reducing the surrounding edema post treatment as the tissue died off. 

Have you inquired with the doc as to what might be causing the brain mets to bleed? Is the patient on Nivo or Pembro? I would speak with a radiation oncologist for the best answers to your questions. Melanoma lesions in the brain are sometimes known to disintigrate or break apart as they die off… not necessarily growing smaller from the edges toward the center. It is entirely possible for radiated brain mets to "bleed out". This becomes a problem if there are too many of them, or they are large. I would be cautious with having targeted radiation therapy if there is already brain bleeding. Edema can also be a side effect of brain radiation, but I have had tumors with a great deal of edema (swollen prior to the radiation) gamma treated effectively.. actually reducing the surrounding edema post treatment as the tissue died off.