Table of Contents Table of Contents
Previous Page  65 / 88 Next Page
Information
Show Menu
Previous Page 65 / 88 Next Page
Page Background

63

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

5

Ependymomas

Diagnosis and treatment

Guide 19

lists treatment options following surgery

for grades I and II ependymoma. Options are

grouped by brain or spinal tumor.

Brain tumor

MRI and the spinal fluid test may find no proof that

the cancer has spread. In this case, options are

based on the type of surgery. After a total resection,

NCCN experts advise doctors to consider limited-field

fractionated EBRT. Observation can be started after

total resection of a tumor in the top half of the brain

(supratentorial). If the tumor wasn’t fully removed,

limited-field fractionated EBRT is advised. Research

suggests that this treatment helps to extend life.

The MRI or spinal fluid test may show that the cancer

has spread. When there is metastasis, craniospinal

radiation therapy should be received.

Spinal tumor

MRI and the spinal fluid test may find no proof that

the cancer has spread. In this case, options are

based on the type of surgery. After a total resection,

observation can be started since the chance of

the cancer returning is low. However, limited-field

fractionated EBRT may be a better option for a

myxopapillary ependymoma. If the tumor wasn’t fully

removed, limited-field fractionated EBRT is advised.

Research suggests that this treatment helps to

extend life.

The MRI or spinal fluid test may show that the cancer

has spread. When there is metastasis, craniospinal

radiation therapy should be received.

Guide 20

lists treatment options following surgery

for a grade III ependymoma. Treatment options are

the same for brain and spinal tumors. If there is no

proof of cancer spread, limited-field fractionated

EBRT is advised. If the cancer has spread,

craniospinal radiation therapy is needed.