Brain tumour

The Royal Marsden’s Neuro-oncology Unit provides treatment and care for people with brain tumours. Specialist neuro-oncology clinical and research staff work in collaboration with neurosurgeons, neurologists and endocrinologists in the London area and throughout the UK.

The latest radiotherapy and chemotherapy treatments for brain tumours are available at both The Royal Marsden’s hospitals in Sutton and Chelsea, together with a full range of patient support and care services.

Both Professor Brada and Dr Saran have a particular expertise in the rarer brain tumours and see patients referred from centres in the UK and abroad.

The Unit receives a large number of patients for second opinions.

Treatment

We offer the full range of modern imaging and treatment techniques, but it is our stereotactic radiotherapy, fast-track metastatic, paediatric neuro-oncology and patient support services that place The Royal Marsden at the forefront of neuro-oncology.

Stereotactic radiotherapy service

The Royal Marsden pioneered the development and implementation of stereotactic radiotherapy – modern, high-precision irradiation of benign and malignant brain tumours.

We are the national and international leader in this field. We routinely offer fractionated stereotactic conformal radiotherapy (SCRT/FSRT) for patients from the UK and abroad with benign intracranial tumours and recurrent malignant tumours, and single fraction radiosurgery (SRS) for patients with solitary brain metastases.

The SCRT/FSRT treatment is carried out in non-invasive relocatable GCT frame and uses the latest in modern high-precision radiation technology, including ExacTrack, XKnife, IGRT and IMRT.

If brain surgery is required, it usually takes place at either St George’s Hospital or King’s College Hospital.

Fast-track metastatic services

We offer innovative and unique fast-track services for medical colleagues managing patients with brain metastases for consideration of radiosurgery, retreatment and other issues:

  • The brain metastases fast-track advisory service is an email service based on available imaging and clinical details.
  • Fast-track radiosurgery uses the XKnife. We have 20 years’ experience using this procedure with published results.

Paediatric neuro-oncology service

The Royal Marsden, in collaboration with two regional paediatric neurosurgical centres (St George’s and King’s College Hospital), has developed a comprehensive South Thames Paediatric Neuro-oncology Service. We are one of the largest paediatric neuro-oncology units in the UK.

There is a close working relationship between the paediatric and adult neuro-oncology teams in the form of weekly joint multidisciplinary team (MDT) meetings and joint clinics.

Patient support service

The Neuro-oncology Unit has a highly qualified and experienced specialist nurse who runs nurse-led clinics. These ensure that we meet patients’ individual needs. We are constantly seeking dynamic, innovative and effective new ways of providing support for people with brain tumours.

Clinical trials

The Neuro-oncology Unit is the UK’s leading neuro-oncology research group. In partnership with The Institute of Cancer Research, we are an internationally recognised centre of research excellence.

Patients may be offered the opportunity to participate in ongoing clinical trials being carried out by the Unit.


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