Dr. Vaibhav Goyal (General Surgery) needs a second opinion on this medical case.
A 47 y/o male came with hearing loss in the left ear for 6-7 months.
He was diagnosed with otitis media and was treated with antibiotics many times but with no response.
CT scan was done which shows giant cell tumor in the temporal bone.
MRI shows poorly defined mass involving the left middle cranial fossa.
Follow-up CT was done after 3 months which shows rapid enlargement of the mass into the cranial bone & enlarged cervical lymph nodes.
What do you advise for this case management?