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54

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

Your performance status: KPS ≤59

What are the options?

• Hypofractionated (preferred) or fractionated EBRT

• PCV or temozolomide

• Best supportive care

Guide 15 continued

Post-surgery treatment

Your performance status: KPS ≥60

Status of 1p19q

What are the options?

With 1p19q co-deletion

ª

• PCV either before or after fractionated EBRT

ª

• Temozolomide during and after fractionated EBRT

Without 1p19q co-deletion

ª

• Fractionated EBRT

ª

• Temozolomide during and after fractionated EBRT

ª

• PCV or temozolomide

Guide 16. Follow-up care

Test

Test schedule

Brain MRI

ª

• At 2–6 weeks after radiation therapy has ended

◦◦ If results are stable, then repeat every 2–4 months for 2–3 years

◦◦ If results are stable, then repeat less often

4

Oligodendrogliomas and oligoastrocytomas Grade III anaplastic