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. fireworks near me

    Howdy! I could have sworn Iíve visited this site before but after browsing through a few of the articles I realized itís new to me. Regardless, Iím definitely pleased I came across it and Iíll be bookmarking it and checking back frequently!

    https://www.priyo.com/feed/redirection?url=https://reviewnearme.com/

    June 17, 2021 at 15:09 | Report abuse | Reply
  2. quest near me

    I could not resist commenting. Exceptionally well written!

    http://www.technologyanddowntowns.net/__media__/js/netsoltrademark.php?d=reviewnearme.com/

    June 17, 2021 at 16:38 | Report abuse | Reply
  3. unemployment office near me

    http://incbr.iung.pulawy.pl/sites/all/modules/pubdlcnt/pubdlcnt.php?file=http://bestshopnearme.com

    June 17, 2021 at 16:55 | Report abuse | Reply
  4. chevron near me

    May I just say what a comfort to discover somebody that truly knows what they're discussing on the web. You definitely realize how to bring a problem to light and make it important. More and more people must read this and understand this side of your story. It's surprising you're not more popular because you surely have the gift.

    http://www.click.dsp.com/c?type=2&db=mediav&pub=120013_527433_1050746&cus=172_663_12717020_63096188_63096188000&url=http://www.bulknearme.com

    June 17, 2021 at 17:53 | Report abuse | Reply
  5. dunkin donuts near me

    Your style is very unique in comparison to other people I have read stuff from. Thank you for posting when you have the opportunity, Guess I'll just book mark this blog.

    https://www.autocar.co.nz/Redirect.aspx?destination=http://wholesalenearme.com

    June 17, 2021 at 19:36 | Report abuse | Reply
  6. kroger near me

    bookmarked!!, I really like your web site!

    http://www.finecosimonline.com/__media__/js/netsoltrademark.php?d=bestlocalnearme.com/

    June 17, 2021 at 21:51 | Report abuse | Reply
  7. animal hospital near me

    http://www.minahnmd.com/__media__/js/netsoltrademark.php?d=bestlocalnearme.com

    June 17, 2021 at 23:52 | Report abuse | Reply
  8. used cars near me

    You should be a part of a contest for one of the most useful blogs on the web. I am going to recommend this blog!

    http://danieljhersh.org/__media__/js/netsoltrademark.php?d=www.bestservicenearme.com/

    June 18, 2021 at 00:21 | Report abuse | Reply
  9. mechanic near me

    This is the perfect site for anyone who wants to understand this topic. You understand a whole lot its almost hard to argue with you (not that I personally would want toÖHaHa). You definitely put a brand new spin on a subject that's been discussed for decades. Wonderful stuff, just great!

    http://talesfromthetrenches.net/__media__/js/netsoltrademark.php?d=www.bestservicenearme.com/

    June 18, 2021 at 00:57 | Report abuse | Reply
  10. redbox near me

    http://www.setyloseusa.com/__media__/js/netsoltrademark.php?d=www.wholesalenearme.com/

    June 18, 2021 at 02:20 | Report abuse | Reply
  11. burlington coat factory near me

    Pretty! This has been an incredibly wonderful post. Thank you for providing this information.

    http://spanishwedding.com/__media__/js/netsoltrademark.php?d=nearmyspot.com/

    June 18, 2021 at 03:07 | Report abuse | Reply
  12. garage sales near me

    http://bluepi.us/__media__/js/netsoltrademark.php?d=www.masternearme.com/

    June 18, 2021 at 04:08 | Report abuse | Reply
  13. gun shops near me

    Pretty! This was a really wonderful post. Thank you for providing this information.

    http://www.cablehorse.net/__media__/js/netsoltrademark.php?d=wholesalenearme.com

    June 18, 2021 at 06:05 | Report abuse | Reply
  14. pep boys near me

    http://www.trucktown.ru/go.php?http://www.bjsnearme.com/

    June 18, 2021 at 06:45 | Report abuse | Reply
  15. theater near me

    http://www.bgfnet.com/__media__/js/netsoltrademark.php?d=reviewnearme.com

    June 18, 2021 at 06:45 | Report abuse | Reply
  16. laundromats near me

    Pretty! This has been an incredibly wonderful article. Thanks for supplying this info.

    http://choprayoga.us/__media__/js/netsoltrademark.php?d=www.bestservicenearme.com

    June 18, 2021 at 07:33 | Report abuse | Reply
  17. gun range near me

    Oh my goodness! Impressive article dude! Thank you so much, However I am encountering difficulties with your RSS. I donít understand why I cannot subscribe to it. Is there anyone else getting the same RSS problems? Anyone that knows the solution can you kindly respond? Thanks!!

    https://viastyle.org/redirect.php?url=http://wholesalenearme.com/

    June 18, 2021 at 07:38 | Report abuse | Reply
  18. flooring near me

    https://www.cs.odu.edu/~mln/teaching/cs695-f04/?method=display&redirect=https://www.bulknearme.com

    June 18, 2021 at 08:54 | Report abuse | Reply
  19. culvers near me

    http://beautyofla.com/__media__/js/netsoltrademark.php?d=www.bulknearme.com

    June 18, 2021 at 09:08 | Report abuse | Reply
  20. printing services near me

    http://www.nwmcog.org/__media__/js/netsoltrademark.php?d=bestlocalnearme.com

    June 18, 2021 at 10:26 | Report abuse | Reply
  21. deck cleaning and staining near me

    http://jeffreyz85r4.vblogetin.com/5957912/generator-repair-things-to-know-before-you-buy

    June 18, 2021 at 11:11 | Report abuse | Reply
  22. Camper Repairs Near Me

    I needed to thank you for this very good read!! I absolutely loved every little bit of it. I have got you book marked to check out new things you postÖ

    https://www.feedroll.com/rssviewer/feed2js.php?src=https://ocrv.club/rv-repair-shop-malibu-california

    June 18, 2021 at 11:46 | Report abuse | Reply
  23. kitchen remodel buena park

    I love it whenever people get together and share opinions. Great blog, keep it up!

    http://stephenl81q0.shotblogs.com/sprinter-repair-shops-options-15223433

    June 18, 2021 at 12:38 | Report abuse | Reply
  24. Sprinter Repair Near Me

    I could not resist commenting. Very well written!

    http://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=ocrvcenter.org/rv-camera-repair-near-me

    June 18, 2021 at 14:37 | Report abuse | Reply
  25. general construction company

    http://garrettt13x2.blogzag.com/45981187/the-repair-dash-ac-vents-sprinter-diaries

    June 18, 2021 at 15:11 | Report abuse | Reply
  26. RV Repair Around Me

    I really love your website.. Great colors & theme. Did you develop this site yourself? Please reply back as Iím trying to create my own site and would love to learn where you got this from or exactly what the theme is called. Kudos!

    https://intranet.canadabusiness.ca/?URL=https://ocrv.biz/industrial-bus-collision-repair-shop-near-me

    June 18, 2021 at 16:32 | Report abuse | Reply
  27. RV Repair California

    http://bizsearch.jhnewsandguide.com/__media__/js/netsoltrademark.php?d=http://www.ocrvcenter.com/moving-truck-collision-repair-shop-near-me

    June 18, 2021 at 17:05 | Report abuse | Reply
  28. RV Repair Santa Ana

    I seriously love your site.. Pleasant colors & theme. Did you create this website yourself? Please reply back as Iím looking to create my own site and would love to find out where you got this from or exactly what the theme is named. Kudos!

    https://historyhub.history.gov/external-link.jspa?url=https://www.ocrv.guru/rv-repair-shop-moreno-valley-california

    June 18, 2021 at 19:16 | Report abuse | Reply
  29. ralphs near me

    http://ssomgmt.ascd.org/profile/createsso/createsso.aspx?returnurl=http://masternearme.com/

    June 18, 2021 at 19:22 | Report abuse | Reply
  30. RV Repair Orange County California

    Spot on with this write-up, I seriously believe this site needs far more attention. Iíll probably be returning to see more, thanks for the information!

    https://image.google.kz/url?q=https://dot.gov

    June 18, 2021 at 19:41 | Report abuse | Reply
  31. RV Repair Santa Ana

    Hello! I could have sworn Iíve been to your blog before but after browsing through a few of the posts I realized itís new to me. Anyways, Iím definitely happy I came across it and Iíll be book-marking it and checking back frequently!

    http://jp.local.com/__media__/js/netsoltrademark.php?d=https://www.ocrv.club/rv-repair-shop-compton-california/

    June 18, 2021 at 22:36 | Report abuse | Reply
  32. panera bread near me

    https://cloud.squirrly.co/go34692/bjsnearme.com

    June 18, 2021 at 22:38 | Report abuse | Reply
  33. RV Repair Mission Viejo

    https://www.treasury.gov/cgi-bin/redirect.cgi/?http://www.ocrv.fun/rv-repair-shop-west-covina-california/

    June 18, 2021 at 23:00 | Report abuse | Reply
  34. lakes near me

    Good post. I learn something new and challenging on websites I stumbleupon everyday. It's always exciting to read content from other authors and practice something from their web sites.

    http://pcsafer.inews24.com/log/link.asp?tid=web_log&adid=57&url=https://bestshopnearme.com/

    June 18, 2021 at 23:01 | Report abuse | Reply
  35. Camper Repair Shops Near Me

    https://www.mundijuegos.com/messages/redirect.php?url=https://www.ocrvcenter.com/camper-van-collision-repair-shop-near-me/

    June 18, 2021 at 23:08 | Report abuse | Reply
  36. RV Repair California

    A fascinating discussion is worth comment. I believe that you should write more about this issue, it might not be a taboo matter but usually folks don't discuss these subjects. To the next! All the best!!

    http://triathlon.org/?URL=tinyurl.com/ujfdvs6y

    June 18, 2021 at 23:40 | Report abuse | Reply
  37. arcade near me

    http://gta.ru/redirect/reviewnearme.com

    June 19, 2021 at 01:58 | Report abuse | Reply
  38. RV Repair Fountain Valley

    https://americantourister.com/disneyside/bumper.php?r=https://www.ocrvcenter.com/rv-repair-shop-commerce-california

    June 19, 2021 at 03:06 | Report abuse | Reply
  39. RV Repairs Near Me

    Excellent article. I absolutely love this site. Stick with it!

    http://www.secure.duoservers.com/?lang=en&s_id=123179&rdomain=http://www.ocrv.me/motorhome-frame-repair-near-me&action=order

    June 19, 2021 at 03:37 | Report abuse | Reply
  40. RV Repair Fountain Valley

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

    https://genki365.net/gnka01/common/redirect.php?url=http://ocrv.org/rv-repair-shop-long-beach-california

    June 19, 2021 at 04:34 | Report abuse | Reply
  41. RV Repair

    https://www.edamam.com/widget/nutrition.jsp?widgetKey=4a7071d1-178b-4780-b73e-73fb5b417a60&url=http://ocrvcenter.com/photos/

    June 19, 2021 at 05:19 | Report abuse | Reply
  42. RV Repair Near My Location

    http://www.brettterpstra.com/share/fymdproxy.php?url=http://www.ocrv.xyz/motorhome-blinds-repair-near-me

    June 19, 2021 at 06:47 | Report abuse | Reply
  43. RV Repair

    http://tvtropes.org/pmwiki/no_outbounds.php?o=https://www.ocrvcenter.com/rv-repair-shop-inland-empire-california/

    June 19, 2021 at 06:52 | Report abuse | Reply
  44. Sprinter Repair Costa Mesa

    This blog was... how do you say it? Relevant!! Finally I've found something which helped me. Cheers!

    http://sangokumuso.lib.net/redirect.cgi?https://www.ocrv.art/rv-camera-repair-near-me/

    June 19, 2021 at 07:01 | Report abuse | Reply
  45. Camper Repair Shop Near Me

    Very good article! We are linking to this great article on our site. Keep up the great writing.

    https://www.imp.mx/salto.php?va=http://www.ocrvcenter.com/services

    June 19, 2021 at 07:11 | Report abuse | Reply
  46. Camper Repair Shop Near Me

    http://innuityweb.myregisteredsite.com/admin/membership_agreement.php?partnerID=3185&domain=https://www.ocrv.club/rv-alignment-repair-near-me

    June 19, 2021 at 07:21 | Report abuse | Reply
  47. Sprinter Repair Shops Near Me

    Way cool! Some extremely valid points! I appreciate you penning this article and the rest of the site is also very good.

    http://www.bigpinkcookie.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/motorhome-maintenance-near-me/

    June 19, 2021 at 07:30 | Report abuse | Reply
  48. RV Repair Orange County

    http://htcdev.com/?URL=https://www.ocrvcenter.com/rv-repair-shop-la-palma-california

    June 19, 2021 at 09:59 | Report abuse | Reply
  49. doctors near me

    http://imaginingourselves.globalfundforwomen.org/pb/External.aspx?url=http://bestservicenearme.com

    June 19, 2021 at 10:56 | Report abuse | Reply
  50. sally beauty near me

    http://www.jeremiahcompany.com/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 19, 2021 at 11:18 | 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 Sprinter Repair Shops Near Me


 

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.