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NCCN QUICK GUIDE

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Brain Cancer – Gliomas, Version 1.2016

PAT-N-0957-1216

What are the treatment options for anaplastic astrocytomas?

Surgery is often used to confirm the presence of and to treat grade III astrocytomas. If the

tumor is fully removed, chemotherapy wafers may be placed into your brain at the end of

surgery. MRI is often needed to assess how much of the cancer was removed.

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More treatment is often received after surgery. If healthy enough, you may treated with

radiation, radiation and chemotherapy, or only chemotherapy. If your health is limited, you

may receive a short or normal course of radiation therapy, chemotherapy, or supportive care.

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MRI scans are needed on a regular basis to track treatment results.

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If a grade III astrocytoma returns, treatment options depend on where the cancer is and its

extent. Surgery may be an option followed by chemotherapy, radiation, or supportive care.

When surgical treatment isn’t an option, other options include chemotherapy, surgery for

symptoms, and supportive care.

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What are the treatment options for glioblastomas and gliosarcomas?

Surgery is often used to confirm the presence of and to treat grade IV astrocytomas. If the

tumor is fully removed, chemotherapy wafers may be placed into your brain at the end of

surgery. MRI is often needed to assess how much of the cancer was removed.

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Treatment after surgery depends on your health, age, and cell features. Options may

include radiation, chemotherapy, alternating electric field therapy, or supportive care.

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MRI scans are needed on a regular basis to track treatment results.

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If a grade IV astrocytoma returns, treatment options depend on where the cancer is and

its extent. Surgery may be an option followed by chemotherapy, radiation, alternating

electric field therapy, or supportive care. When surgical treatment isn’t an option, other

options include chemotherapy, surgery for symptoms, alternating electric field therapy, and

supportive care.

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How do you decide between options?

Ask your doctors many questions. Also, you could get a second opinion, attend support

groups, and compare pros and cons.

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