124 / 1708
Ependymoma - surgery
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GTR of tumors arising from floor or lateral aspect of 4V
difficult as tumor applied to surface of brainstem and
cranial nerves
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Extent of resection most important prognostic factor
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Intra-operative MRI optimal – enables ‘on table’ further
resection
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Post op imaging (24-48 hrs) to assess degree of resection
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Second look surgery should be considered for residuum
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Consensus MDT useful for further follow-up/surgery