Approach to a newly diagnosed brain mass The clinical presentation and radiographic findings are of great value for the neurohospitalist undertaking the initial evaluation of a patient admitted with a newly detected brain mass. Key questions include whether or not the lesion is a neoplasm, versus another mass such as an abscess, and if a neoplasm, whether it is more likely to be a primary or metastatic tumor. What is the initial management while appropriate specialists are consulted? How should the diagnosis be confirmed? Clinical setting The presenting clinical manifestations of a newly detected brain mass can assist the admitting physician in differentiating between tumor and other etiologies. However, it is important to note that while important, the clinical or imaging features rarely supplant the need for a more definitive diagnostic study such as a biopsy.
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