Table 1.
Demographics, clinical presentation, treatment and outcome in patients with metastatic ependymoma
Authors | Sex/age, years | Location of tumor | Site of metastasis | Clinical presentation | Initial therapy | Number of recurrences | Treatment of metastasis | Time elapsed between diagnosis and metastasis | Overall survival |
---|---|---|---|---|---|---|---|---|---|
Davis et al. (8) |
F/22 | Frontal and temporal lobe |
Scalp nodule, neck, parotid gland, cervical lymph nodes |
Headaches, dysarthria |
GTR and XRT | 0 | Neck dissection and XRT |
12 months | 54 months |
Itoh et al. (9) |
M/59 | Cerebellar hemisphere |
Lungs, subcutaneous tissue |
Headache, vomiting, ataxia |
Subtotal resection with XRT, recurrence 14 months later at resection site, re-resected followed by XRT and human interferon |
1 | Cyclophosphamide doxorubicin and etoposide |
28 months | 36 months |
Donepudi et al. (10) |
M/57 | Parietal lobe | Scalp nodule, right parotid gland, cervical lymph nodes |
Not described in article |
Five intracranial recurrences, initially treated with subtotal resection and XRT with a short course of carmustine, first 4 recurrences treated with GTR, 5th recurrence treated with SRS radiosurgery and 4 cycles of TMZ |
5 | Superficial parotidectomy and extended modified radical neck dissection, irinotecan and bevacizumab |
108 months | 180 months |
Present study |
M/21 | Temporal and parietal lobe |
Neck, cervical lymph nodes |
Severe headaches, neck pain |
GTR and XRT; 1st recurrence GTR followed by SRS followed by TMZ for 1 year; 2nd recurrence GTR, followed by SRS, 16 cycles of adjuvant TMZ and bevacizumab were then administered |
2 | 5-FU, followed by etoposide, cisplatin, vincristine and cyclophosphamide |
60 months | 69 months |
F = female, GTR = gross total resection, M = male, SRS = stereotactic radiosurgery, TMZ = temozolomide, XRT = radiation therapy, 5-FU = 5-fluorouracil.