NCCN Guidelines for Patients
Brain Cancer – Gliomas, Version 1.2016
Grade I pilocytic astrocytomas are often cured
Surgery is often used to confirm the diagnosis
and treat astrocytomas of all grades. If the
cancer is grade III or IV, carmustine wafers
placed into your brain during surgery may be
an option. MRI is needed after major surgery to
assess how much of the cancer was removed.
More treatment is often received after surgery.
Only some grade II astrocytomas may be
observed rather than treated. Deciding
factors for more treatment differ between
cancer grades. In general, radiation therapy,
chemotherapy, or both are received. Alternating
electric field therapy may be added to treatment
MRI scans are needed on a regular basis to
track treatment results.
If a grade II astrocytoma returns, surgery may
be an option. Treatment after surgery depends
on your treatment history. You may receive
radiation, chemotherapy, or both. Likewise,
radiation, chemotherapy, or both may be
received if surgery isn’t an option.
If a grade III or IV astrocytoma returns,
treatment options depend on where the cancer
is and its extent. Surgery may be an option
followed by chemotherapy, radiation, or for
glioblastoma, alternating electric field therapy.
When surgical treatment isn’t an option, other
options include chemotherapy, surgery for
symptoms, alternating electric field therapy
(glioblastoma), and supportive care.