Exercise #1

The patient was referred to a neurologist because of a right side hearing loss and possible acoustic tumor. CT scan on 3/1/2004 diagnosed right acoustic neuroma. On 3/31/04 the patient had a craniotomy. There was a protrusion of tumor in the vestibule that appeared to come from the cochlea. Facial nerve was spared. There was total tumor resection with clear margins.

Scope of regional lymph node surgery

Radiation treatment volume

Regional treatment modality


Hormone therapy


Hematologic transplant and endocrine procedures