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?

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Malignant tumor mastoid Adv biopsy to differentiate Fast growing tumor likely adenocarcinoma Will need opinion of oncologist Likely for surgical intervention

Thanx dr Kute Ankush
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Malignancy ( Temporal lobe of brain ) Needs further investigation and evaluation to conclude and oncologist evaluation for surgical intervention or for further management.

Thanks Dr Shivraj Agarwal
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? GIANT CELL TUMOUR IN.. TEMPORAL LOBE.. OF INTRACRANIAL.. NEED'S.. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Ashok Leel sir
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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.

Plus GCT will not go to cervical LN. Something is fishy, and does not make sense.
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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.

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