Tumors: Options for Treatment and Management of Ear Tumors - Oncology

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Tumor


Hello, Doctor.
About a year and a half ago, I experienced a sudden decrease in hearing in my left ear, and I can now only hear about 10%.
An MRI revealed a tumor near the nerve area of the semicircular canal, measuring approximately 3-5 mm, which is currently believed to be benign.
I have not experienced any dizziness, but I occasionally hear a sharp sound similar to a chainsaw.
I would like to ask whether surgery is preferable or if I should just use a hearing aid.
If surgery is necessary, what methods are available, and which one is more suitable? At this stage, how should I take care of myself and manage the situation? Additionally, what should I pay attention to post-surgery? What could have caused this type of tumor? Is it due to excessive mobile phone use, stress, a weakened immune system, or possibly a sequela from a lightning strike I experienced about five years ago? At that time, I was using my phone with my left ear, and my entire left side was paralyzed for a few days before subsiding.
I did not pay attention to it afterward and did not seek further examination.
I sincerely appreciate your time and effort in clarifying these concerns.
Thank you very much.

Longzi, 40~49 year old female. Ask Date: 2006/10/01

Dr. Chen Sirong reply Oncology


Hello: Has the doctor diagnosed you with a vestibular schwannoma? Sincerely, Dr.
Hu Ke-Hsin, Otolaryngology.

Reply Date: 2006/10/01

More Info


Understanding ear tumors, particularly those affecting hearing, is crucial for effective management and treatment. Based on your description, you have been diagnosed with a benign tumor located near the vestibular nerve in the semicircular canal of your left ear, measuring approximately 3-5 mm. This situation raises several important considerations regarding treatment options, potential causes, and post-operative care.


Treatment Options
1. Observation: Given that your tumor is currently classified as benign and you are not experiencing significant symptoms such as dizziness or severe hearing loss, a common approach is to monitor the tumor over time. Regular follow-ups with MRI scans can help track any changes in size or symptoms.

2. Hearing Aids: If your hearing loss continues to progress, using a hearing aid may be a suitable option. Hearing aids can significantly improve your quality of life by amplifying sounds, making it easier to communicate and engage in daily activities.

3. Surgery: If the tumor grows or begins to cause more severe symptoms, surgical intervention may be necessary. The surgical options include:
- Microsurgery: This involves removing the tumor while preserving as much surrounding healthy tissue as possible. The goal is to minimize damage to the auditory and vestibular nerves.

- Endoscopic Surgery: In some cases, endoscopic techniques may be employed, which can reduce recovery time and minimize scarring.

- Radiosurgery: Stereotactic radiosurgery (such as Gamma Knife) is a non-invasive option that targets the tumor with focused radiation, aiming to stop its growth without the need for traditional surgery.


Post-Operative Care
If you opt for surgery, post-operative care is essential for recovery. Here are some key points to consider:
- Follow-Up Appointments: Regular check-ups with your ENT specialist are crucial to monitor healing and any changes in hearing or balance.

- Avoid Strenuous Activities: After surgery, it’s important to avoid heavy lifting, bending over, or any activities that could increase pressure in the head.

- Hearing Rehabilitation: Depending on the outcome of the surgery, you may need rehabilitation to adjust to any changes in hearing.


Potential Causes of Tumor Development
While the exact cause of ear tumors is often unknown, several factors may contribute:
- Genetic Predisposition: Some individuals may have a genetic predisposition to developing tumors.

- Environmental Factors: Prolonged exposure to certain environmental factors, including noise or radiation, may play a role.

- Lifestyle Factors: Stress and immune system health can influence tumor development, although direct causation is difficult to establish.

- Previous Trauma: Your mention of experiencing a left-sided body paralysis after using your phone could suggest a prior neurological event, but it is unlikely to be directly related to the tumor's development.


Conclusion
In summary, the management of your ear tumor will depend on its growth and the symptoms you experience. Regular monitoring, the potential use of hearing aids, and surgical options are all viable paths. It is essential to maintain open communication with your healthcare provider to make informed decisions about your treatment plan. If you have concerns about the tumor's progression or your symptoms, do not hesitate to seek a second opinion or further evaluation. Your health and well-being are paramount, and understanding your condition is the first step toward effective management.

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