Treatment of anaplastic ependymoma may include the following:
- Surgery with radiotherapy
- A clinical trial that includes surgery followed by chemotherapy before, during and after radiotherapy
- A clinical trial that includes chemotherapy and / or immunotherapy.
Ependymoma is a tumor, usually benign, developed in the ependymal cells – the membrane that lines the cavities of the brain fluid. Neurosurgical treatment of primary tumors include surgery, radiotherapy and chemotherapy.
Disease progression should be followed step by step to adapt the treatment plan whenever necessary. Treatment plan should conduct a direct action on the tumors, and a skillful protection of the nervous system in order to improve quality of life of the patient. Medication treatment helps to support postsurgical treatment (in resection of tumors), reduces the risk of postsurgical tumor relapse and metastasis, attenuates the toxic effects of chemotherapy and radiotherapy.
When the tumor is located in the brain, it can cause the following problems: the most restrictive (for surgery) is located at the junction of left and right ventricles (intraventricular), preventing the evqacuation of cerebrospinal fluid and causing intracranial hypertension in obstructive hydrocephalus.
Its removal may be associated with significant postoperative complications (cerebral edema and coma). In the worst cases, and location of ependymoma, the effects are accompanied by chronic epilepsy, aphasia (language loss), hemiplegia and in some cases, amnesia or a state of chronic depression with suicidal tendencies.
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