NCCN Guidelines for Patients
Brain Cancer – Gliomas, Version 1.2016
Grade I subependymomas are often cured with
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.
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.
MRIs of your brain, spine, or both are needed
on a regular basis to track treatment results.
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.