 |
|
|
|
|
May 13th, 2011
02:00 PM ET
Gupta: Waiting out a meningiomaAll 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.
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. soundoff (1,497 Responses)« Previous 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 Next »Leave a Reply to Fonda Almanza
Next entry »What the Yuck: How risky are tanning salons?
« Previous entryFit Friday: Cafeteria cams measure kids' calories
|
  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.
 |
|
|
|
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.
Having read this I believed it was extremely enlightening. I appreciate you taking the time and energy to put this information together. I once again find myself personally spending way too much time both reading and posting comments. But so what, it was still worth it!
http://manoeksportas.vz.lt/invitePage.do?id=309782144&url=http://maseratis.net
I’m amazed, I have to admit. Rarely do I come across a blog that’s equally educative and interesting, and without a doubt, you've hit the nail on the head. The problem is something that not enough men and women are speaking intelligently about. I'm very happy that I stumbled across this during my search for something relating to this.
https://ycaistock.com/home/link.php?url=https://maseratis.net/
Your style is unique compared to other folks I have read stuff from. Thanks for posting when you've got the opportunity, Guess I will just book mark this web site.
http://wwwnuevo.jus.mendoza.gov.ar/c/blogs/find_entry?p_l_id=29236&noSuchEntryRedirect=https://maseratis.net/
Your style is so unique in comparison to other folks I have read stuff from. Thanks for posting when you've got the opportunity, Guess I'll just bookmark this page.
https://sso.esolutionsgroup.ca/default.aspx?SSO_redirect=https://ocrvcenter.com/
http://www.montessorihelper.com/dap/a/?a=211&p=www.ocrvcenter.com/
Good post! We will be linking to this great post on our website. Keep up the great writing.
https://www.sns.lilyenglish.com/link.php?url=https://ocrvcenter.com/
https://analytics.tradedoubler.com/r.php?u=https://ocrvcenter.com
http://etracker.com/lnkcnt.php?et=qPKGYV&url=http://ocrvcenter.com/
Very good info. Lucky me I came across your website by accident (stumbleupon). I've bookmarked it for later!
https://moad.dipujaen.es/index.html?redireccion=https://ocrvcenter.com
https://demo.cloudhostedresources.com/?id=7cde069d28fee9161e9475b01c2cf8cf&fullscreen=1&task=get&url=https://ocrvcenter.com
https://www.worldarchitecture.org/community/links/?waurl=https://ocrvcenter.com
An outstanding share! I've just forwarded this onto a co-worker who was conducting a little research on this. And he actually bought me lunch due to the fact that I stumbled upon it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending some time to discuss this topic here on your internet site.
https://motherless.com/index/top?url=http://ocrvcenter.com/
http://www.topmudsites.com/cgi-bin/topmuds/out.cgi?id=cougar&url=http://newportcenterdentalgroup.com
http://bw.irr.by/knock.php?bid=252583&link=https://assistedlivingseniorcarepalmdesert.com
Great post! We will be linking to this great content on our website. Keep up the great writing.
http://www.audio-iwasaki.com/ys4/rank.cgi?mode=link&id=1551&url=http://www.cool-air-tech.com/
http://iacconline.org/Redirect.aspx?destination=newportcenterdentalgroup.com
Greetings! Very helpful advice in this particular article! It is the little changes that make the greatest changes. Thanks a lot for sharing!
http://transportation.automation.com/statistics/logClick.php?statType=commerce&pageId=33&Id=189&redirect=http://newportcenterdentalgroup.com/
pharmacy rx world https://pharmacylo.com/ mens ed pills
http://promotion.wisecart.ne.jp/case/case_link.asp?bId=1299&url=https://menmastermind.com/
Great blog you have got here.. It’s difficult to find high-quality writing like yours nowadays. I seriously appreciate individuals like you! Take care!!
https://edesk.jp/atp/Redirect.do?url=https://energygopep.com/
http://spotfokus.pt/modules/babel/redirect.php?newlang=pt_PT&newurl=https://gopepp.com/
https://www.bashinform.ru/go/?https://bonus-books.com
http://www.volkshilfe-salzburg.mobile-websites.at/?task=get&url=https://eyedoctorphoenixaz.com
Great site you have got here.. It’s difficult to find excellent writing like yours nowadays. I really appreciate people like you! Take care!!
https://pixel.everesttech.net/1350/cq?ev_sid=10&ev_ltx=&ev_lx=44182692471&ev_crx=8174361329&ev_mt=b&ev_dvc=c&url=https://eyedoctorphoenixaz.com/
http://www.jim.fr/_/pub/textlink/371?url=http://sanmarinoroof.com
Way cool! Some extremely valid points! I appreciate you writing this post and also the rest of the site is very good.
http://action.smartgrowthamerica.org/salsa/track.jsp?key=-1&url_num=6&url=https://maseratis.net
http://media.rawvoice.com/podcastle/hootnholler.net/
http://allfilm.net/go?https://reviewnearme.com/
http://parkcities.bubblelife.com/click/c3592/?url=https://sunglasseseyedoctorsoptometristphoenixaz.com/
http://www.hammer.if.tv/cgi/search/rank.cgi?mode=link&id=2613&url=http://www.gopepp.com
http://www.mnogosearch.org/redirect.html?https://maseratiforum.net/
Your style is unique in comparison to other people I've read stuff from. Many thanks for posting when you have the opportunity, Guess I'll just bookmark this blog.
https://gta.ru/redirect/360branded.com/
Aw, this was a very good post. Spending some time and actual effort to create a superb article… but what can I say… I put things off a lot and never seem to get nearly anything done.
http://www.gamekouryaku.com/dq8/search/rank.cgi?mode=link&id=3552&url=https://jrkreations.com/
whats better cialis or viagra https://ucialisdas.com/ shopping for cialis
You're so awesome! I do not think I have read something like that before. So nice to find another person with genuine thoughts on this subject. Really.. thank you for starting this up. This website is something that's needed on the web, someone with some originality!
https://www.track.affsrc.com/track/clicks/3171/c627c2b89e0522dbfe9cbd2e8d2b8914736245cb75e9f0ab416db1046005?t=https://www.hammer.ag/en/disclaimer/item/155-dummy-de?start=565110
Very good information. Lucky me I found your site by chance (stumbleupon). I have saved as a favorite for later!
http://zdorov.online/goto.php?l=http://ocrv.tv/
I was able to find good information from your blog articles.
https://monitor.clickcease.com/tracker/tracker?id=Tcmwi3RgKQiVSy&kw=yahoobacklinks&nw=g&url=https://ocrv.tv
This is a topic which is near to my heart... Cheers! Exactly where are your contact details though?
/
best online international pharmacies http://xlnpharmacy.com/ Cialis Soft Flavored
I have to thank you for the efforts you have put in writing this website. I really hope to see the same high-grade content by you in the future as well. In fact, your creative writing abilities has motivated me to get my very own website now 😉
/
http://nilaima.com/link.php?url=https://vidunderlig.se/workshop-pa-smedingeskolan/
http://www.betterwhois.com/link.cgi?url=https://kusadasi.international/2020/02/25/kusadase-truthahn-botschaft-passport-paspoort-reisepass-fuhrerschein-rijbe-2/
Aw, this was a very nice post. Taking the time and actual effort to generate a top notch article… but what can I say… I put things off a lot and don't manage to get anything done.
https://www.fis.com/fis/shared/redirect.asp?banner=6158&url=https://ibizahouzez.com/grabmyessay-com-what-is-an-essay-review-persuasive-research-paper-topics-review/
https://qatar.vcu.edu/?URL=brandonjonesphotography.net/loving-the-ricoh/
May I just say what a comfort to uncover somebody that genuinely knows what they're discussing online. You certainly know how to bring an issue to light and make it important. More and more people should check this out and understand this side of your story. I was surprised that you're not more popular since you surely have the gift.
https://php-api.engageya.com/oper/https_redirect.php?url=https://postfallsphotographer.com
http://marianvarga.sk/scripts/redirect.php?http://nearmyspot.com/
Having read this I thought it was extremely informative. I appreciate you spending some time and effort to put this informative article together. I once again find myself spending way too much time both reading and commenting. But so what, it was still worthwhile!
https://www.ttf.sdsu.edu/?URL=internetmarketingidaho.com/
http://ww17.tudominio.com/__media__/js/netsoltrademark.php?d=bjsnearme.com/
Everything is very open with a precise description of the challenges. It was truly informative. Your site is very useful. Thanks for sharing!
http://zdorov.online/goto.php?l=https://meticulousjessmarketing.com
Aw, this was an incredibly nice post. Spending some time and actual effort to create a great article… but what can I say… I procrastinate a lot and don't seem to get nearly anything done.
http://www.mnogosearch.org/redirect.html?https://curtismelancon.com/