Initial Management At Presentation
- Surgical resection: Complete tumor resection is the procedure of choice whenever it can be accomplished. With classical neurocytomas, tumor bleeding is often the only cause of inability to achieve this aim.
- Radiation therapy: An alternative to complete tumor resection is radiotherapy.
- Chemotherapy: Two chemotherapeutic agents have been used: MCNU(ranimustine) and CCNU(lomustine).
- Initial visit at 6 months: Initially, a 6-month MRI is indicated, especially if the tumor histology is atypical or the classical neurocytoma shows a high MIB-1 labeling index.