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Management of Supratentorial Ependymomas in Children

Initial Management at Presentation

  • Surgery is the initial treatment: The craniotomy for tumor resection has a goal of maximal surgical resection (16), as adjuvant treatments have poor efficacy for curing this tumor.

Adjunctive Therapies

  • Radiotherapy useful: Radiotherapy has proven useful as an adjunct to surgery in the immediate or intermediate postoperative period.
  • Chemotherapy not useful: Chemotherapy has not proven efficacious as an adjunctive therapy.


  • Standard: Children who have undergone resection of a supratentorial ependymoma are followed in a manner similar to others with supratentorial low-grade gliomas.