Malignant brain tumors

The brain tumor patient presents as a complex challenge to the care provider, demanding a knowledge of their cancer, its treatment and complications, and the neurological impact of the tumor. Brain tumors may range from primary to metastatic, from surgically curable to highly malignant. Each type of tumor has its own unique impact, and the management, prognosis and long-term outcomes differ for each patient. It is outside the scope of this chapter to review all of these trajectories individually. Instead, we aim to make certain generalizations on the presentation, management and course of primary and metastatic brain tumors as a group. We present some of the most common symptoms experienced by this patient group and make suggestions on management. We also focus on the important subject of advanced care and end of life planning in this population, as well as discuss how the clinician can help prepare the patient and caregivers for the end of life.