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64

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

5

Ependymomas

Follow-up care | Return of cancer

Follow-up care

Return of cancer

Guide 21. Testing for cancer

Test

Test schedule

MRI of brain, spine, or both

ª

• Every 3–4 months for 1 year

◦◦ If results are stable, then repeat 4–6 months for 1 year

◦◦ If results are stable, then repeat every 6–12 months

Guide 22. Treatment for recurrence

Your surgery status

What are the options?

Approved and agree to surgery

ª

• Surgery

ª

• Limited-field fractionated EBRT if not

received before

ª

• Stereotactic radiosurgery in some cases

Not approved or decline surgery

ª

• Limited-field fractionated EBRT if not received before

ª

• Stereotactic radiosurgery in some cases

Guide 23. Treatment for progression

What are the options?

• Limited-field fractionated EBRT

• Stereotactic radiosurgery in some cases

• Chemotherapy

• Best supportive care