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Grade II Ependymoma

According to Cancer.gov, Grade II Ependymomas are low grade tumors and can occur in either the brain or the spine. The cause of these types of tumors are unknown. Ependymomas can form anywhere in the central nervous system (CNS). But Ependymomas can spread to other areas of the CNS through Cerebrospinal Fluid (CSF). Symptoms related to an Ependymoma depend on the tumor’s location. For me the symptoms I experienced varied from headaches, nausea, blurred vision, vomiting and dizziness, and bowel problems.

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Treatment

The first course of treatment for an Ependymoma is surgery. For my particular case and based on the location of the tumor, I needed to have surgery first before any other course of treatment. The goal of my surgery was to remove the tumor entirely without causing more symptoms. My neurosurgeons also wanted to obtain tissue for a pathologist to determine the tumor type.

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After surgery, there is usually no standard treatment for Ependymomas. Many people won’t need other treatment after surgery. For me, my situation was quite unique. Due to my malignant tumor, I was required to have treatments including proton radiation. Depending on the tumor some may require radiation, chemotherapy, or clinical trials. Treatments were decided by my healthcare team based on my age, remaining tumor after surgery, tumor type, and tumor location. That remaining 1% of the tumor and eliminating occurrence was the primary goal of my treatment plan.

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Proton treatment has proven to be a less invasive therapy and is a clear directive treatment to the site of cancer. Proton treatment for me involved 45min-1hr sessions of proton therapy once a day, M-F for 6.5wks. There were side effects associated with this form of therapy based on my cancer site, some consisted of being nauseated, lack of appetite, fatigued, and more, but I persevered.

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Timeline

June 8, 2018                        Routine eye exam

June 8, 2018                        Follow up eye exam

June 10, 2018                      ER visit

June 18, 2018                      Neurology consult

June 22, 2018                      Neurosurgeon consult

July 19, 2018                       Brain Surgery

August 6, 2018                  Incision revision Surgery

September 10, 2018           Proton Treatment (6.5wks)

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