Ependymoma medical therapy: Difference between revisions

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==Medical Therapy==
==Medical Therapy==
* The malignant (anaplastic) varieties of this [[tumor]], malignant ependymoma and the ependymoblastoma, are treated similarly to [[medulloblastoma]] but the prognosis is much less favorable. Malignant ependymomas may be treated with a combination of radiation therapy and chemotherapy.
* The malignant (anaplastic) varieties of this [[tumor]], malignant ependymoma and the ependymoblastoma, are treated similarly to [[medulloblastoma]] but the prognosis is much less favorable. Malignant ependymomas may be treated with a combination of radiation therapy and chemotherapy.
==Radiation Therapy==
==Radiation Therapy==
* For this reason, well-differentiated ependymomas are usually treated with [[radiation therapy]] only.   Ependymoblastomas, which occur in infants and children younger than 5 years of age, may spread through the [[cerebrospinal fluid]] and usually require radiation therapy. The subependymoma, a variant of the ependymoma, arises in the fourth ventricle but may occur in the [[septum pellucidum]] and the cervical [[spinal cord]].
*Radiation therapy consisting of 54 Gy to 55.8 Gy is recommended for children aged 3 years and older who are diagnosed with well-differentiated ependymomas.<ref name="pmid583-90">{{cite journal| author=Diewitz M| title=[Coronary heart disease and its differential treatment]. | journal=Med Welt | year= 1975 | volume= 26 | issue= 43 | pages= 1980-8 | pmid=583-90 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prl
 
*It is not necessary to treat the entire CNS (whole brain and spine) because these tumors usually recur initially at the local site.<ref name="pmid972-8">{{cite journal| author=De Dobbeleer GD, Ledoux-Corbusier MH, Achten GA| title=Graft versus host reaction. An ultrastructural study. | journal=Arch Dermatol | year= 1975 | volume= 111 | issue= 12 | pages= 1597-902 | pmid=972-8 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=972  }} </ref><ref name="pmid987-93">{{cite journal| author=Colwell WM, Simmons DG, Harris JR, Fulp TG, Carrozza JH, Maag TA| title=Influence of some physical factors on survival of Marek's disease vaccine virus. | journal=Avian Dis | year= 1975 | volume= 19 | issue= 4 | pages= 781-90 | pmid=987-93 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=987  }} </ref>
*When possible, patients should be treated in a center experienced with the delivery of highly conformal radiation therapy (including intensity-modulated radiation therapy or charged-particle radiation therapy) to pediatric patients with brain tumors.  
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 17:41, 8 October 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

Medical Therapy

  • The malignant (anaplastic) varieties of this tumor, malignant ependymoma and the ependymoblastoma, are treated similarly to medulloblastoma but the prognosis is much less favorable. Malignant ependymomas may be treated with a combination of radiation therapy and chemotherapy.

Radiation Therapy

  • Radiation therapy consisting of 54 Gy to 55.8 Gy is recommended for children aged 3 years and older who are diagnosed with well-differentiated ependymomas.[1]
  • When possible, patients should be treated in a center experienced with the delivery of highly conformal radiation therapy (including intensity-modulated radiation therapy or charged-particle radiation therapy) to pediatric patients with brain tumors.

References

  1. Colwell WM, Simmons DG, Harris JR, Fulp TG, Carrozza JH, Maag TA (1975). "Influence of some physical factors on survival of Marek's disease vaccine virus". Avian Dis. 19 (4): 781–90. PMID 987-93 Check |pmid= value (help).

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