Management

The pattern of recurrence of ependymoma is primarily local, with less than 10% of relapses occuring distant from the primary site. Furthermore, most recent series have demonstrated complete resection to be the most important favorable prognostic sign [20,21]. Therefore, aggressive surgery is the primary modality in the treatment of ependymomas (Fig. 28.3). So important is total tumor resection that serious consideration should be given to

Fig. 28.3. Intraoperative photograph of an ependymoma. This tumor originated in the fourth ventricle and grew dorsally into the cisterna magna, as well as laterally to encase cranial nerves IX, X and XI on the right.
Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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