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NCCN Guidelines for Patients



Brain Cancer – Gliomas, Version 1.2016

Who should read this book?

Gliomas are the most common type of cancer that

starts in the brain or spinal cord. The focus of the

book is treatment for gliomas among adults. Patients

and those who support them—caregivers, family, and

friends—may find this book helpful. It may help you

discuss and decide with doctors what care is best.

Where should I start reading?

Part 1

is a good starting point to learn about

gliomas. It explains the types of gliomas.

Part 2

briefly describes cancer tests and treatments so

you will understand your options. Options for

astrocytomas and glioblastomas are listed in

Part 3


and oligodendrogliomas and oligoastrocytomas

are addressed in

Part 4

. For brain and spinal

ependymomas, read

Part 5


Part 6

gives tips for

anyone making treatment decisions.

Does the whole book apply to


This book includes information for many situations.

Your medical team can help. They can point out what

parts of the book apply to you. They can also give

you more information. As you read through this book,

you may find it helpful to make a list of questions to

ask your doctors.

The recommendations in this book are based on

science and the experience of NCCN experts.

However, these recommendations may not be right

for you. Your doctors may suggest another screening

program based on your health and other factors. If

other suggestions are given, feel free to ask your

medical team questions.

Help! What do the words


In this book, many medical words are included.

These are words you will likely hear from your

treatment team. Most of these words may be new to

you, and it may be a lot to learn.

Don’t be discouraged as you read. Keep reading

and review the information. Don’t be shy to ask your

treatment team to explain a word or phrase that you

do not understand.

Words that you may not know are defined in the text

or in the


. Acronyms are also defined when

first used and in the


. Acronyms

are short

words formed from the first letters of several words.

One example is DNA for







How to use this book