47 y/o male with Hearing loss
Chief complaint A 47 y/o male came with hearing loss in the left ear for 6-7 months. History He was diagnosed with otitis media and was treated with antibiotics many times but with no response. Investigations CT scan was done which shows giant cell tumor in the temporal bone. MRI shows poorly defined mass involving the left middle cranial fossa. Follow-up CT was done after 3 months which shows rapid enlargement of the mass into the cranial bone & enlarged cervical lymph nodes. Treatment What do you advise for this case management?
Malignant tumor mastoid Adv biopsy to differentiate Fast growing tumor likely adenocarcinoma Will need opinion of oncologist Likely for surgical intervention
Malignancy ( Temporal lobe of brain ) Needs further investigation and evaluation to conclude and oncologist evaluation for surgical intervention or for further management.
? GIANT CELL TUMOUR IN.. TEMPORAL LOBE.. OF INTRACRANIAL.. NEED'S.. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..
Are you sure it is giant cell tumor? This is a very usual location (not unknown, but unusual) and usually GCTs will not grow rapidly. Biopsy the lesion first to make a diagnosis.
SUGGESTIVE. OF GIANT. CELL TUMOR. INVOLVING LT. MIDDLE CRANIAL. FOSSA... NEEDS MULTIDISCIPLINARY APPROACH
Malignancy Ref to Onchologist cum neurosurgeon for further management
Gaint cell tumour Opinion of neurosurgeon Core biopsy then explore
It would be great if you posted CT or MRI images Pt need evaluation by a neurosurgeon for further management
surgery
Malignancy. Biopsy, surgical intervention. Oncologist, neurosurgeon opinion.
Cases that would interest you
- Login to View the image
A postpartum biopsy material collected from a 55year female with a severe disease, H & E stained, 4-6 ym thickness. What is the probable disease with given reasons? Tissue sample taken from bone
Udochi Ugonna Onyeike1 Like19 Answers - Login to View the image
A female patient with history of ear discharge since 4 years.h/o of hearing loss since 1 year and giddiness since one week . On examination and CT scan shows following picture. What is the diagnosis and how patient should be managed.
Dr. Venu Gopal Reddy2 Likes13 Answers - Login to View the image
11yr pt came with otalgia and hearing loss... spot the dx..
Dr. Manish Verma5 Likes12 Answers - Login to View the image
46 year old man with hearing loss has this audiogram. What does it depict?
Dr. Rubeena Arora1 Like11 Answers - Login to View the image
Patient presented with pus discharge from the ear. What are your diagnosis?
Dr. Rupal Chhabra1 Like10 Answers
4 Likes