Author Topic: Just found out I have AN. Questions  (Read 983 times)

NYMIKE

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Just found out I have AN. Questions
« on: May 15, 2025, 08:03:38 am »
About 2 years ago I noticed by accident that I couldn’t hear as well out of my left ear as my right ear. I thought nothing of it at the time and figured it may just be congestion or some weird anomaly that would correct itself. It hasn’t changed since then. It doesn’t affect my day to day so it is really impossible to notice unless I completely block my right ear. If my right ear is blocked while listening to a podcast for example - I need to turn the volume up a bit to hear with my left ear.

Finally after 2 years I went to the ENT (this April) who did an audiogram and discovered that I have what is referred to as to as cookie bite hearing loss (mid frequency), meaning I have trouble hearing the frequency of peoples voices. However, I did still have 100% word recognition in my bad ear at 65db, meaning perfect word recognition at a louder volume.. He advised an MRI as the next step which revealed acoustic neuroma in my left ear.

Aside from the partial mid frequency hearing loss in my left ear, I have no other symptoms. I’m wondering what people would recommend for someone in my situation. Considering the only symptom is hardly noticeable and doesn’t effect my day to day life, I am wondering what the best course of action would be. I have read that these tumors sometimes randomly permanently stop growing. Given that my symptoms have been the same for 2 years (possibly longer as I only noticed incidentally) I am leaning towards a wait and watch approach. I’m sure an additional MRI will follow to determine if and how much it is growing. But if it’s stable I’m leaning towards wait and watch. Thoughts?
Diagnosed 5/12/2025 - watch & wait

5/12/2025 - 1.4 x 1.6 x 1.3cm (at diagnosis - with “very mild mass effect”)
8/21/2025 - 1.2 x 1.6 x 1.3cm (2mm reduction in one axis, 14% volume reduction ! - “no mass effect”)

DanFouratt

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Re: Just found out I have AN. Questions
« Reply #1 on: May 15, 2025, 01:08:15 pm »
NYMike,

Welcome to the group.  This is an amazing support group, they helped me greatly through my decision process.  Each person is different in their criteria for making a decision.  We have all been where you are. We all value different things more then others. Each path (watch and wait, radiation or surgery) has their own risks and rewards. 

I was in watch and wait for a while.  Like you a little hearing loss and unlike you tinnitus.  I made my decision after it grew a little for radiation and hearing got a little worse. That was what was right for me. There are people with bigger tumors who are still in the watch and wait as that decision is best for them.  In my decision journey I spoke with a lot of providers. The single best advice I received is when you make a decision do not second guess yourself.

I am not a doctor so this is just the patient talking.  However to help me organized the overwhelming amount of information out there I put a matrix together.  This is based on conversations many specialist and individuals.  My wife told me I become obsessed with the project.  I told here I was simply being complete as an engineer does. Regardless, if you want to see this email at Dan4att@gmail.com and I will send it. 

Good luck on your journey,
Dan
Dan Fouratt             64 years old
Vestibular Schwannoma
Discovered 9/15/21  5mm x 11mm
MRI 4/11/22            No change
MRI 1/9/23              7mm x 13 mm
MRI 6/19/23            No change
CK  9/15/23            
MRI 6/14/24            7mm x 12 mm

ESH

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Re: Just found out I have AN. Questions
« Reply #2 on: May 15, 2025, 05:31:36 pm »
About 2 years ago I noticed by accident that I couldn’t hear as well out of my left ear as my right ear. I thought nothing of it at the time and figured it may just be congestion or some weird anomaly that would correct itself. It hasn’t changed since then. It doesn’t affect my day to day so it is really impossible to notice unless I completely block my right ear. If my right ear is blocked while listening to a podcast for example - I need to turn the volume up a bit to hear with my left ear.

Finally after 2 years I went to the ENT (this April) who did an audiogram and discovered that I have what is referred to as to as cookie bite hearing loss (mid frequency), meaning I have trouble hearing the frequency of peoples voices. However, I did still have 100% word recognition in my bad ear at 65db, meaning perfect word recognition at a louder volume.. He advised an MRI as the next step which revealed acoustic neuroma in my left ear.

Aside from the partial mid frequency hearing loss in my left ear, I have no other symptoms. I’m wondering what people would recommend for someone in my situation. Considering the only symptom is hardly noticeable and doesn’t effect my day to day life, I am wondering what the best course of action would be. I have read that these tumors sometimes randomly permanently stop growing. Given that my symptoms have been the same for 2 years (possibly longer as I only noticed incidentally) I am leaning towards a wait and watch approach. I’m sure an additional MRI will follow to determine if and how much it is growing. But if it’s stable I’m leaning towards wait and watch. Thoughts?

You and I are in approximately the same place. I just found out that I had an AN in my right ear last January. I have upper range hearing loss and it does affect my ability to hear speech. I also find I do not locate dropped items as efficiently as I once did. Unlike you, I have tinnitus, which is getting more and more intrusive. I have taken to falling asleep with music on so I don't focus on it the same way.

What has come across to me loud and clear is that I am not in an emergency situation and can wait and get a bit more data. I like data (and I also know that the quality of the first MRI was not as good as it could have been.) So, at least for now, I have decided to watch and wait until after a second MRI in October 2025. I also know that I am good at handling uncertainty so I can afford emotionally to wait.

I've seen Dan's chart (and suggested some additions which he graciously accepted.) I found it helpful.

You're not alone. This appears to be one of those things (like a lot of things in raising children) where you just have to make your best decision based on what you know and go with it.

Good luck,

Ellen
Ellen
01/16/25 MRI diagnosis 17 mm x 8 mm
Currently watch & wait
Tinnitus, hearing loss

NYMIKE

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Re: Just found out I have AN. Questions
« Reply #3 on: September 02, 2025, 01:31:24 pm »
Just got the results of my 3 month follow up MRI and it appears to have shrunk a bit in size! The AN was originally 1.4x1.6x1.3cm. Current size is now 1.2x1.6x1.3cm - 2mm reduction in one dimension and approximately 14% reduction in volume.  Also, the initial radiology report stated “very mild mass effect”, whereas this most recent report stated “no mass effect”. I’m not sure if the 2mm reduction is within the margin of error or not - I supposed the next MRI will confirm!
« Last Edit: September 03, 2025, 04:41:01 am by NYMIKE »
Diagnosed 5/12/2025 - watch & wait

5/12/2025 - 1.4 x 1.6 x 1.3cm (at diagnosis - with “very mild mass effect”)
8/21/2025 - 1.2 x 1.6 x 1.3cm (2mm reduction in one axis, 14% volume reduction ! - “no mass effect”)

mwatto

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Re: Just found out I have AN. Questions
« Reply #4 on: September 07, 2025, 08:33:21 pm »
Thats really good news! Watch and wait makes sense for sure!
Michele
20 x19x14mm Cystic AN diagnosed Feb 2019. CK.
Mri 2019 shrinking: 18x17x13 mm.
Mri 2020 - no cysts visible, stable.
MRI 2021, 2022 - stable no change
MRI 2023 Further reduction 12x12x10mm!! Hearing 87%
MRI 2024, 2025: No change in AN size or hearing status.

ESH

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Re: Just found out I have AN. Questions
« Reply #5 on: September 07, 2025, 08:42:13 pm »
Excellent news! Watch and wait appears to make a lot of sense for you.

Ellen
Ellen
01/16/25 MRI diagnosis 17 mm x 8 mm
Currently watch & wait
Tinnitus, hearing loss