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Surgery CNS Tumors 07d1d7fa

A 47yrs old female c/o headache, changes in vision, seizures from past 2yrs. Now she has developed weakness . side of body. A CT scan was being ordered by the physician which showed well circumscribed mass abutting the skull in left hemisphere. On contrast enhanced MRI shows - What is the next step in management of this patient?

A
Surgical excision
B
Chemotherapy with Adriamycin
C
Cerebral angiography with tumor embolization
D
Preoperative radiation therapy followed by surgical excision
High-Yield Explanation
Most likely diagnosis in this patient is meningioma (CECT finding & findings points towards it) it is a slow growing tumor arising from arachnoid layer. predominately occurs in females peak incidence around 45yrs primary treatment of meningioma includes - surgical excision (with radiation therapy - if complete resection is not possible) 11 -15% recurrence is there, even after gross total resection.

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