We present the case of a 32-year-old white man seen for evaluation of
pancytopenia 12 years after thoracolumbar myeloresection of intramedul
lary ependymoma. Bone marrow examination revealed extensive marrow fib
rosis and tumor infiltrate compatible with metastatic ependymoma. Myel
ophthisic anemia due to metastatic ependymoma, though not previously r
eported, should be entertained in the differential workup for pancytop
enia.