Skip to main content

Intracranial Ependymoma

  • Chapter
  • First Online:
Adult CNS Radiation Oncology

Abstract

Ependymomas are uncommon tumors arising from the ependymal cells lining the ventricles, central canal, filum terminale, or choroid plexus. As per WHO 2016 pathologic classification, ependymal tumors can be classified as grade I (subependymoma or myxopapillary), grade II [ependymoma (with papillary, clear cell, tanycytic subtypes)], or grade III (anaplastic). Clinical presentation depends on the tumor location. Prognostic factors include extent of resection, tumor grade, age at time of diagnosis, Karnofsky performance status (KPS), tumor location, and adjuvant radiation therapy, with arguably extent of resection being the most significant factor. Predominant pattern of recurrence is local. Management of adult intracranial ependymoma remains controversial, and multi-institutional prospective trials are needed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Reni M, Gatta G, Mazza E, et al. Ependymoma. Crit Rev Oncol Hematol. 2007;63(1):81–9.

    Article  PubMed  Google Scholar 

  2. Asaid M, Preece P, Rosenthal M, et al. Ependymoma in adults: local experience with an uncommon tumour. J Clin Neurosci. 2015;22(9):1392–6.

    Article  PubMed  Google Scholar 

  3. Gilbert M, Ruda R, Soffietti R. Ependymomas in adults. Curr Neurol Neurosci Rep. 2010;10(3):240–7.

    Article  PubMed  Google Scholar 

  4. Ostrom Q, Gittleman H, Fulop J, et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2008–2012. Neurooncology. 2015;17(Suppl 4):iv1–iv62.

    Google Scholar 

  5. Ghia A, Mahajan A, Allen P, et al. Supratentorial gross-totally resected non-anaplastic ependymoma: population based patterns of care and outcomes analysis. J Neurooncol. 2013;115(3):513–20.

    Article  PubMed  Google Scholar 

  6. Thompson Y, Ramaswamy V, Diamandis P, et al. Posterior fossa ependymoma: current insights. Childs Nerv Syst. 2015;31(10):1699–706.

    Article  PubMed  Google Scholar 

  7. Chamberlain M. Ependymomas. Curr Neurol Neurosci Rep. 2003;3(3):193–9.

    Article  PubMed  Google Scholar 

  8. National Comprehensive Cancer Network. Central Nervous System Cancers (version 1.2016). https://www.nccn.org/professionals/physician_gls/pdf/cns.pdf. Accessed 12 Apr 2017.

  9. Halperin E, Brady L, Perez C. Perez & Brady’s principles and practice of radiation oncology. 6th ed. Philadelphia: Wolters Kluwer; 2015.

    Google Scholar 

  10. Constine LS, Tarbell NJ, Halperin EC. Pediatric radiation oncology, LWW. 6th ed. Philadelphia: Wolters Kluwer; 2016.

    Google Scholar 

  11. Schild S, Nisi K, Scheithauer B, et al. The results of radiotherapy for ependymomas: the mayo clinic experience. Int J Radiat Oncol Biol Phys. 1998;42(5):953–8.

    Article  CAS  PubMed  Google Scholar 

  12. Vanuytsel L, Brada M. The role of prophylactic spinal irradiation in localized intracranial ependymoma intracranial ependymoma. Int J Radiat Oncol Biol Phys. 1991;21(3):825–30.

    Article  CAS  PubMed  Google Scholar 

  13. Louis D, Perry A, Reifenberger G, et al. The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol. 2016;131(6):803–20.

    Article  Google Scholar 

  14. Hollon T, Nguyen V, Smith B, et al. Supratentorial hemispheric ependymomas: an analysis of 109 adults for survival and prognostic factors. J Neurosurg. 2016;125(2):410–8.

    Article  PubMed  Google Scholar 

  15. Kovalic J, Flaris N, Grigsby P, et al. Intracranial ependymoma long term outcome, patterns of failure. J Neurooncol. 1993;15(2):125–31.

    Article  CAS  PubMed  Google Scholar 

  16. Vera-Bolanos E, Aldape K, Yuan Y, et al. Clinical course and progression-free survival of adult intracranial and spinal ependymoma patients. Neurooncology. 2015;17(3):440–7.

    Google Scholar 

  17. Rooney J, Stauder M, Laack N. Adult supratentorial ependymoma: the Mayo Clinic experience. Int J Radiat Oncol Biol Phys. 2011;81((2):S299–300.

    Article  Google Scholar 

  18. Metellus P, Guyotat J, Chinot O, et al. Adult intracranial WHO grade II ependymomas: long-term outcome and prognostic factor analysis in a series of 114 patients. Neurooncology. 2010;12(9):976–84.

    Google Scholar 

  19. Rogers L, Pueschel J, Spetzler R, et al. Intracranial ependymomas in the adult patient: the barrow neurological institute experience. Int J Radiat Oncol Biol Phys. 2003;57(2):S371.

    Article  Google Scholar 

  20. Rogers L, Pueschel J, Spetzler R, et al. Is gross-total resection sufficient treatment for posterior fossa ependymomas? J Neurosurg. 2005;102(4):629–36.

    Article  PubMed  Google Scholar 

  21. Donahue B, Steinfeld A. Intracranial ependymoma in the adult patient: successful treatment with surgery and radiotherapy. J Neurooncol. 1998;37(2):131–3.

    Article  CAS  PubMed  Google Scholar 

  22. Paulino A. The local field in infratentorial ependymoma: does the entire posterior fossa need to be treated? Int J Radiat Oncol Biol Phys. 2001;49(3):757–61.

    Article  CAS  PubMed  Google Scholar 

  23. Kalash R, Glaser S, Balasubramani G, et al. Adult ependymoma (AE) patients: practice patterns and overall survival. Int J Radiat Oncol Biol Phys. 2016;96(2):E90.

    Article  Google Scholar 

  24. Schwartz T, Kim S, Glick R, et al. Supratentorial ependymomas in adult patients. Neurosurgery. 1999;44(4):721–31.

    Article  CAS  PubMed  Google Scholar 

  25. Stüben G, Stuschke M, Kroll M, et al. Postoperative radiotherapy of spinal and intracranial ependymomas: analysis of prognostic factors. Radiother Oncol. 1997;45(1):3–10.

    Article  PubMed  Google Scholar 

  26. Reni M, Brandes A, Vavassori V, et al. A multicenter study of the prognosis and treatment of adult brain ependymal tumors. Cancer. 2004;100(6):1221–9.

    Article  PubMed  Google Scholar 

  27. Lawrence Y, Li X, el Naqa I, et al. Radiation dose–volume effects in the brain. Int J Radiat Oncol Biol Phys. 2010;76(3):S20–7.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael T. Milano .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Suri, J.S., Youn, P., Milano, M.T. (2018). Intracranial Ependymoma. In: Chang, E., Brown, P., Lo, S., Sahgal, A., Suh, J. (eds) Adult CNS Radiation Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-42878-9_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42878-9_28

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42877-2

  • Online ISBN: 978-3-319-42878-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics