PETROUS APEX LESION - Should I be worreid about a large cholesterol granuloma of the petrous apex?

	Asked by Unregistered on Wed 26, Mar 2008 02:36pm
	DO I NEED TO WORRY ABOUT A LARGE CHOLESTEROL GRANULOMA OF THE PETROUS APEX? THE ONLY SYMPTOM I AM HAVING IS OCCASIONAL SHARP EAR PAIN AND EYE PAIN.I AM CURRENTLY TAKING LEVAQUIN 500MG FOR 21 DAYS TO SEE IF FLUID AROUND GRANULOMA WILL BE ABSORBED.
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	Answer by Dr Bobby V, MD (doctor) on Thu 27, Mar 2008 09:45am: Hi, You have a "large cholesterol granuloma" of the petrous temporal bone. How was this diagnosis arrived at? Was it based on imaging (CT scan/MRI) and clinical examination, or was a tissue analysis done (Biopsy). A cholesterol granuloma is the commonest lesion observed in the petrous apex. If conservative treatment with drugs fails, then surgical intervention in needed for establishment of appropriate drainage and ventilation. There are no large studies that have shown that patients with cholesterol granulomas may be at higher risk for cancer.
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