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66

NCCN Guidelines for Patients

®

:

Brain Cancer – Gliomas, Version 1.2016

5

Ependymomas

Review

Review

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Grade I subependymomas are often cured with

surgery.

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For other ependymomas, surgery is often the

first step to confirm the diagnosis and treat

the cancer. Brain and spine MRIs are used to

assess treatment results and if there’s cancer

in other sites. A sample of your spinal fluid will

also be tested for cancer.

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†

More treatment is often received after surgery.

Only some grade I and II ependymomas may

be observed rather than treated. If there is no

metastasis, limited-field fractionated radiation

therapy is advised. Metastases are treated with

craniospinal radiation therapy.

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†

MRIs of your brain, spine, or both are needed

on a regular basis to track treatment results.

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If the cancer returns, you should receive MRIs

of both your brain and spine and a lumbar

puncture. When surgery is an option, it may

be followed by radiation therapy if you haven’t

had it before. When surgery isn’t an option,

radiation therapy may be received if you haven’t

had it before. If the cancer grows or spreads

again, radiation therapy, chemotherapy, and

supportive care may be options.