Table of Contents Table of Contents
Previous Page  38 / 88 Next Page
Information
Show Menu
Previous Page 38 / 88 Next Page
Page Background

36

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

3

Astrocytomas

Anaplastic astrocytomas

Anaplastic astrocytomas

Anaplastic astrocytomas are one of the most

common brain cancers in adults. Surgery is very

important for diagnosis and treatment. The goals

of surgery are to remove enough tissue for testing,

relieve symptoms, extend life, and decrease the

need for corticosteroids. Corticosteroids are used to

reduce swelling in the brain.

Guide 6

lists the treatment for anaplastic

astrocytoma. Your surgeon will assess how much of

the tumor he or she can remove. The amount that

will be removed depends on where the tumor is, your

age and health, and other factors. Your surgeon does

not want you less able to think, speak, and move

afterward.

Post-surgery treatment

Your performance status

What are the options?

KPS ≥60

ª

• Fractionated EBRT

ª

• Fractionated EBRT and temozolomide

ª

• PCV or temozolomide

KPS ≤59

ª

• Hypofractionated (preferred) or fractionated EBRT

ª

• PCV or temozolomide

ª

• Best supportive care

Guide 6. Diagnosis and treatment

Surgery

Your surgery status

What are the options?

Approved and agree to removing most of the tumor

ª

• Maximal safe resection ± carmustine wafer

Approved and agree to removing some of the tumor

ª

• Stereotactic biopsy

ª

• Open biopsy

ª

• Subtotal resection