home
RSS
May 13th, 2011
02:00 PM ET

Gupta: Waiting out a meningioma

All the news about one of my favorite actresses, Mary Tyler Moore, reminded me of the first time I saw a patient with a meningioma. It was 1995. I was a junior neurosurgery resident, and my professor introduced me to a 69-year-old, perfectly healthy appearing woman. That surprised me at the time, because moments earlier, I had been reviewing her MRI scan. She had an obvious bright mass in her brain located in the right frontal lobe.

I carefully examined the movements of her eyes and face. I checked her motor strength and sensation in her four extremities and completed a full neurological exam. Her long-term memory and instant recall were intact, and she did not complain of headaches. “I wouldn’t even know it is up there,” she said, referring to her brain tumor.

This pleasant woman had been showing up at the clinic for several years, with a scan in hand to review with my professor. If the mass looked no different, and more importantly, if the patient didn’t have any neurological changes – they would simply make a date to see each other again in another year, and repeat the process. They had collectively agreed to not operate on the obvious brain tumor, but instead to watch, wait, and bank on the possibility she would never need an operation in her lifetime.

That may sound surprising, given we are talking about brain tumors. Truth is, while there are many types of brain tumors that do require urgent operations, meningiomas are often treated differently. They have such a characteristic appearance on an MRI scan, there is often little doubt when you see one. And, about nine out of 10 times, they are benign. If the tumor is relatively small, the patient is not very young, and there are no symptoms – the neurosurgeon is likely to offer the “watchful waiting” as an option.

Two years later, we did operate on the then-71-year-old woman. Her most recent scan had shown a sudden growth in the size of the mass. Worried that it might continue growing at an accelerating rate, my professor and the patient collectively agreed an operation was the best course of action.

There are other things that may have tipped the scale toward an operation. If the mass had changed in its appearance, and looked more malignant. And, of course, if our patient had started to have any symptoms such as blurriness of vision, seizures, headaches or weakness, to name a few.

These are the types of conversations and considerations Mary Tyler Moore has likely been having with her doctors over the past few years, now deciding an operation was prudent for possibly one of these reasons. By the time you read this, Ms. Moore may have already had the brain surgery necessary to remove the tumor, and may even be scheduled for radiation treatment, which is sometimes necessary if all the tumor cannot be removed. Here is wishing her a speedy recovery.

Each week, CNN’s Dr. Sanjay Gupta, also a practicing neurosurgeon, posts a “medical mystery” photo from inside his operating room on Twitter. Follow @SanjayGuptaCNN and tweet Dr. Gupta your best guess!


soundoff (1,496 Responses)
  1. AnooEncox

    can 22 year old use viagra https://llviagra.com/ viagra atemnot

    May 15, 2021 at 11:27 | Report abuse | Reply
  2. FmrfEncox

    cialis before and after pictures https://cialisee.com/ viagra vs cialis

    May 15, 2021 at 15:33 | Report abuse | Reply
  3. Eye Appointment Near Me

    Spot on with this write-up, I honestly believe this web site needs much more attention. I’ll probably be back again to read through more, thanks for the information!

    https://letronc-m.com/redirector?url=https://www.arizonasvision.com/

    May 15, 2021 at 15:50 | Report abuse | Reply
  4. toy hauler modifications

    http://www.kzsoft.to/rank.cgi?mode=link&id=1187&url=https://www.rvmarketingexperts.com/

    May 15, 2021 at 16:41 | Report abuse | Reply
  5. Seo Marketing Service

    Pretty! This was a really wonderful article. Thank you for providing this info.

    https://www.etis.ford.com/externalURL.do?url=https://hiddenapples.com/

    May 15, 2021 at 17:04 | Report abuse | Reply
  6. Digital Marketing Company

    https://espqa.memorialhermann.org/url?q=http://getmoneysocial.com

    May 15, 2021 at 17:08 | Report abuse | Reply
  7. Google Marketing Business

    https://www.primorye.ru/go.php?id=19&url=https://affordableranking.com/

    May 15, 2021 at 22:44 | Report abuse | Reply
  8. Local Marketing Agency Costa Mesa

    http://darin51.ru/?wptouch_switch=mobile&redirect=http3A2F2Faffordableranking.com

    May 15, 2021 at 23:55 | Report abuse | Reply
  9. Aika Online Private Server

    http://f001.sublimestore.jp/trace.php?pr=default&aid=1&drf=13&bn=1&rd=http://aikareborn.com/wiki/novice_jeweler/

    May 16, 2021 at 00:24 | Report abuse | Reply
  10. Digital Marketing Agency

    http://www.lacksgroup.com/__media__/js/netsoltrademark.php?d=www.affordableranking.com

    May 16, 2021 at 01:20 | Report abuse | Reply
  11. Google Marketing Program

    https://www.natureceuticals.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 16, 2021 at 03:43 | Report abuse | Reply
  12. Video Marketing Service

    After I originally commented I appear to have clicked on the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I recieve four emails with the same comment. Is there a way you can remove me from that service? Thank you!

    https://earlyamericannewspapers.org/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 16, 2021 at 04:25 | Report abuse | Reply
  13. Local Marketing Events

    Your style is really unique compared to other folks I've read stuff from. Thank you for posting when you've got the opportunity, Guess I'll just bookmark this blog.

    http://www.regrunreanimator.com/research/?wptouch_switch=mobile&redirect=http3A2F2Faffordableranking.com

    May 16, 2021 at 05:13 | Report abuse | Reply
  14. aika online download

    http://www.friscowebsites.com/Redirect.aspx?destination=https://aikareborn.com/wiki/rifleman

    May 16, 2021 at 05:13 | Report abuse | Reply
  15. Social Media Marketing Help Near Me

    http://hackedgear.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 16, 2021 at 06:41 | Report abuse | Reply
  16. aika private server english

    https://track.affclkr.com/track/clicks/3171/c627c2b89e0522dbfe9cbd2e8d2b8914736245cb75e9f0ab416db1046005?t=https://www.aikareborn.com/wiki/warlock_unique

    May 16, 2021 at 07:34 | Report abuse | Reply
  17. Content Marketing Ideas

    Hello there! I just would like to offer you a big thumbs up for your great info you have right here on this post. I'll be coming back to your website for more soon.

    http://www.pet-fufu.com/cgi-bin/pet/rank.cgi?mode=link&id=6054&url=http://www.forkliftrepairorangecounty.com/

    May 16, 2021 at 09:14 | Report abuse | Reply
  18. Mb Sprinter Repair Shop

    Excellent web site you have here.. It’s hard to find quality writing like yours nowadays. I truly appreciate people like you! Take care!!

    https://www.zhhsw.com/home/link.php?url=https://indraproductions.com/the-doobie-brothers-at-dpac-in-durham-nc-1120

    May 16, 2021 at 09:48 | Report abuse | Reply
  19. Aika Free

    Aw, this was a really good post. Taking a few minutes and actual effort to make a good article… but what can I say… I put things off a lot and don't manage to get nearly anything done.

    https://www.bestrevie.ws/r/46678c091e3ae21e328f865434774f917baebabe-MDEyMDE5?url=https://aikareborn.com

    May 16, 2021 at 10:38 | Report abuse | Reply
  20. rv body repair

    http://site-navi.net/sponavi/rank.cgi?mode=link&id=890&url=https://yarbnas.com/video/how-to-make-amplifier-stereo-using-ic-la4440-with-4558-ic-bass-treble-circuit-diagram/comment-page-260/

    May 16, 2021 at 11:08 | Report abuse | Reply
  21. Sprinter Resistor Repair

    https://dmca.com/Protection/Status.aspx?ID=edc817fd-d796-4c84-abb8-d1cb5b2e3719&refurl=https://www.commercialvanrepairshop.com/box-truck-upholstery-shop-near-me/

    May 16, 2021 at 13:55 | Report abuse | Reply
  22. Authorized Sprinter Repair Shop

    Hello there! I could have sworn I’ve been to this blog before but after looking at a few of the posts I realized it’s new to me. Nonetheless, I’m definitely pleased I found it and I’ll be bookmarking it and checking back often!

    http://www.10lowkey.us/UCH/link.php?url=http://www.fleetautorepairshop.com/rv-maintenance-shop-near-me

    May 16, 2021 at 15:48 | Report abuse | Reply
  23. Mercedes Sprinter Van 2015 3500 Repair

    I was able to find good information from your blog posts.

    http://closings.cbs6albany.com/scripts/adredir.asp?url=http://commercialrepairshop.com/box-truck-conversion-shop-near-me/

    May 16, 2021 at 17:10 | Report abuse | Reply
  24. stornobrzinol

    I like this site very much so much superb information.

    http://www.stornobrzinol.com/

    May 16, 2021 at 20:14 | Report abuse | Reply
  25. Suspension Repair Sprinter Van

    The very next time I read a blog, Hopefully it won't disappoint me just as much as this particular one. I mean, I know it was my choice to read, but I genuinely thought you would have something interesting to talk about. All I hear is a bunch of whining about something you could possibly fix if you weren't too busy searching for attention.

    http://em.gohawaii.com/mtr40/c2.php?HVCB/26693011/218753/H/N/V/https://commercialvanrepairshop.com/van-mechanic-shop-near-me/

    May 16, 2021 at 22:32 | Report abuse | Reply
  26. Dry Van Floor Repair

    Way cool! Some very valid points! I appreciate you penning this write-up and also the rest of the website is really good.

    http://laosubenben.com/home/link.php?url=https://fleetrepairshops.com/western-star-truck-repair-shop-near-me

    May 16, 2021 at 22:52 | Report abuse | Reply
  27. Auto Sprinter Repair

    http://tbsa.so-buy.com/front/bin/adsclick.phtml?Nbr=11promotion_700x120&URL=http://fleetautorepairshop.com/business-van-repair-shop-near-me/

    May 16, 2021 at 23:11 | Report abuse | Reply
  28. Repair Cost On Mercedes Sprinter Van

    Good information. Lucky me I recently found your site by chance (stumbleupon). I've bookmarked it for later!

    http://wfc2.wiredforchange.com/dia/track.jsp?v=2&c=hdorrh+HcDlQ+zUEnZU5qlfKZ1Cl53X6&url=http://commercialrepairshop.com/semi-truck-maintenance-shop-near-me/

    May 16, 2021 at 23:21 | Report abuse | Reply
  29. Van Repair

    Hi, I do believe this is an excellent site. I stumbledupon it 😉 I'm going to revisit once again since I saved as a favorite it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.

    http://directory.broomfieldenterprise.com/__media__/js/netsoltrademark.php?d=ocrvfleetservices.com/ford-luxury-van-repair-shop-near-me

    May 16, 2021 at 23:46 | Report abuse | Reply
  30. Rust Repair Sprinter

    http://www.ia.omron.com/view/log/redirect/index.cgi?url=https://fleetvehiclerepairshop.com/alignment-shop-near-me

    May 16, 2021 at 23:51 | Report abuse | Reply
  31. Ghibli Maserati

    http://www.brianmicklethwait.com/index.php?URL=https://maseratiforum.net/

    May 16, 2021 at 23:51 | Report abuse | Reply
  32. LbsoZisse

    generic cialis 20 mg x 30 http://ucialisdas.com/ – cialis professional 20 lowest price cialis online without prescription

    May 17, 2021 at 00:39 | Report abuse | Reply
  33. Freightliner Sprinter Repair Near Me

    https://www.10lowkey.us/UCH/link.php?url=https://sprintervanrepairshop.com/ford-luxury-van-repair-shop-near-me/

    May 17, 2021 at 00:59 | Report abuse | Reply
  34. Mercedes Sprinter Brake Caliper Repair Kit

    Excellent web site you have got here.. It’s hard to find quality writing like yours these days. I really appreciate individuals like you! Take care!!

    http://preissuchmaschine.de/link.asp?url=https://commercialrepairshop.com/van-technician-shop-near-me

    May 17, 2021 at 03:54 | Report abuse | Reply
  35. Handicapped Van Repair

    I absolutely love your blog.. Pleasant colors & theme. Did you create this web site yourself? Please reply back as I’m attempting to create my own personal website and want to find out where you got this from or just what the theme is named. Many thanks!

    http://www.demo07.soluzione-web.it/common/Mod_30_conta.asp?ID=4&Link=http://fleetservicesocrv.com/bus-repair-shop-near-me/

    May 17, 2021 at 04:17 | Report abuse | Reply
  36. Authorized Mercedes Benz Service Centers Near Me

    It’s hard to find well-informed people on this topic, however, you seem like you know what you’re talking about! Thanks

    http://dresscircle-net.com/suteki/rank.cgi?mode=link&id=633&url=https://www.boxtruckrepairshop.com/sprinter-van-mechanic-shop-near-me/

    May 17, 2021 at 04:24 | Report abuse | Reply
  37. Frieghtliner Sprinter Abs Module Repair

    http://www.nilaima.com/link.php?url=https://boxtruckrepairshop.com/luxury-box-truck-shop-near-me

    May 17, 2021 at 05:29 | Report abuse | Reply
  38. Maserati Cheap

    http://geobase.com/__media__/js/netsoltrademark.php?d=www.maseratiforum.net

    May 17, 2021 at 07:23 | Report abuse | Reply
  39. GtnbCrulk

    is viagra taxed http://jokviagra.com/ – does viagra work the first time? cost of viagra at cvs

    May 17, 2021 at 07:25 | Report abuse | Reply
  40. Chrysler Tc Maserati

    Very good info. Lucky me I recently found your site by chance (stumbleupon). I've book-marked it for later!

    http://isixsigma.com/share.php?site=http://club-maserati.com

    May 17, 2021 at 08:02 | Report abuse | Reply
  41. 2013 Maserati Ghibli

    http://elpapaenperu.pe/bitrix/redirect.php?goto=http://maseratis.net

    May 17, 2021 at 09:33 | Report abuse | Reply
  42. Sprinter Rust Repair Panels

    http://iacconline.org/Redirect.aspx?destination=https://fleetrepairshops.com/specialty-van-repair-shop-near-me/

    May 17, 2021 at 11:18 | Report abuse | Reply
  43. Maserati 2019

    The next time I read a blog, Hopefully it won't disappoint me just as much as this particular one. After all, Yes, it was my choice to read through, nonetheless I genuinely believed you would probably have something useful to talk about. All I hear is a bunch of whining about something you can fix if you were not too busy looking for attention.

    http://timemapper.okfnlabs.org/view?url=http://www.club-maserati.com/

    May 17, 2021 at 12:45 | Report abuse | Reply
  44. rv inspection service near me

    Oh my goodness! Amazing article dude! Many thanks, However I am experiencing difficulties with your RSS. I don’t know why I cannot join it. Is there anybody getting similar RSS problems? Anyone who knows the answer will you kindly respond? Thanks!!

    /&mid=12872

    May 17, 2021 at 14:05 | Report abuse | Reply
  45. Maserati Ghibli Price 2016

    http://www.asiawebdirect.com/customer/recommend/?url=www.maseratiforum.net

    May 17, 2021 at 14:11 | Report abuse | Reply
  46. RebfZisse

    cialis at canadian pharmacy http://rcialisgl.com/ – cialis professional legitimate buy cialis online next day shipping

    May 17, 2021 at 14:34 | Report abuse | Reply
  47. JebgEncox

    online pharmacy quick delivery http://pharmacylo.com/ Enalapril

    May 17, 2021 at 15:47 | Report abuse | Reply
  48. RV Wraps Riverside

    Good post. I learn something new and challenging on websites I stumbleupon on a daily basis. It's always useful to read through articles from other writers and use something from their web sites.

    http://site1548.sesamehost.com/blog/?wptouch_switch=mobile&redirect=http://web-movimento.it/viewtopic.php?id=50724

    May 17, 2021 at 15:55 | Report abuse | Reply
  49. RV Entertainment System California

    Nice post. I learn something new and challenging on websites I stumbleupon every day. It's always useful to read through content from other writers and use something from other web sites.

    http://kzsoft.to/rank.cgi?mode=link&id=1187&url=https://devinmnmjg.bloggazzo.com/3147886/rv-solar-installation-near-me-things-to-know-before-you-buy

    May 17, 2021 at 16:55 | Report abuse | Reply
  50. car sound system repair near me

    https://10lowkey.us/UCH/link.php?url=https://sowetosunrisenews.co.za/2020/04/03/health-ministry-update/

    May 17, 2021 at 17:23 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Leave a Reply to Local Marketing Events


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.