Table of Contents Table of Contents
Previous Page  37 / 88 Next Page
Information
Show Menu
Previous Page 37 / 88 Next Page
Page Background

35

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

3

Astrocytomas

Diffuse astrocytomas

Guide 4

addresses follow-up care. Follow-up care

is started when your doctor thinks the cancer has

been fully treated. A brain MRI is advised every 3 to

6 months for 5 years. If results are stable for 5 years,

a brain MRI is needed every year. If you can’t have

MRI, you may receive a CT scan with and without

contrast.

Guide 5

lists treatment options for cancer

progression or recurrence. In addition, a clinical

trial may be another option. Cancer progression is

further growth or spread of cancer that’s already

been found. A recurrence is the return of cancer after

not having signs of cancer for a period of time. Your

surgeon may obtain a tissue sample to confirm that

the cancer is back and to assess the cancer grade.

Progressive and recurrent cancers are treated

the same. Options are based on whether you had

fractionated EBRT for first-time treatment. If you

will receive chemotherapy, it may consist of PCV,

temozolomide, lomustine, or carmustine.

No radiation therapy before

Your surgeon will assess if surgery is an option. If

you undergo surgery, a brain MRI is advised within

24 to 72 hours to assess surgery results. If you can’t

have MRI, you may receive a CT scan. Images will

be made with and without contrast.

After surgery, observation may be started if all the

cancer was removed. However, for most people,

surgery should be followed by fractionated EBRT

with or without chemotherapy or followed by

chemotherapy only. If surgery isn’t an option, you

may have three options. One option is fractionated

EBRT with chemotherapy. The second option is

fractionated EBRT without chemotherapy. A third

option is chemotherapy without radiation therapy.

Radiation therapy before

Your surgeon will assess if surgery is an option. If

you undergo surgery, a brain MRI is advised within

24 to 72 hours to assess surgery results. If you can’t

have MRI, you may receive a CT scan. Images will

be made with and without contrast.

Chemotherapy may be received after surgery or as

the sole treatment if surgery isn’t an option. During

chemotherapy, it’s typical to get MRI scans every 2 to

3 months.

The cancer may progress after chemotherapy. In this

case, you may have three options. One option is to

think about changing to a different chemotherapy.

Your radiation oncologist may think radiation therapy

is another option. The third option is supportive care.

Supportive care aims to improve your quality of life.

It includes treatment for symptoms caused by the

cancer or prior treatment.