HEALTH PROFESSIONAL · SOURCE READING

Second-look surgery

Source: Childhood Ependymoma Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: January 6, 2025 · Captured 2026-09-09.

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Context: Treatment of Childhood Intracranial Ependymoma / Adjuvant Therapy / Treatment of residual disease, no disseminated disease

Second-look surgery should be considered because patients who have complete resections followed by irradiation have better disease control.[26] In some cases, further surgery can be undertaken after the initial attempted resection if the pediatric neurosurgeon believes that a gross-total resection could be obtained by an alternate surgical approach to the tumor. In other cases, additional up-front surgery is not anticipated to result in a gross-total resection; therefore, adjuvant therapy is initiated with future consideration of second-look surgery.[8]

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