Toescu, SM;
Aquilina, K;
(2019)
Current and Emerging Methods of Management of Ependymoma.
Current Oncology Reports
, 21
(9)
, Article 78. 10.1007/s11912-019-0826-y.
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Abstract
PURPOSE OF REVIEW: This review discusses the evidence base behind current and emerging strategies of management of intracranial and spinal ependymomas in children, with a particular focus on aspects of surgical techniques, challenges and complications. RECENT FINDINGS: The cornerstone of management remains maximal safe resective surgery, which has repeatedly been shown to correlate with improved survival. This is followed by focal conformal radiotherapy, although good results using proton beam therapy, with the potential for diminished side effects, are emerging. The role of chemotherapy remains largely unproven for paediatric ependymoma. Despite optimal management strategies, many children with ependymoma suffer from tumour recurrence. SUMMARY: The standard of care for paediatric ependymoma comprises surgery and radiotherapy. Results of ongoing clinical trials will help shape its management in order to leverage our increasingly sophisticated understanding of the genetic drivers behind these tumours into survival benefit for this challenging group of patients.
Type: | Article |
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Title: | Current and Emerging Methods of Management of Ependymoma |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1007/s11912-019-0826-y |
Publisher version: | https://doi.org/10.1007/s11912-019-0826-y |
Language: | English |
Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
Keywords: | Ependymoma, Paediatric, Surgery, Cerebellopontine angle, Radiotherapy, Chemotherapy |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health |
URI: | https://discovery.ucl.ac.uk/id/eprint/10079960 |
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