A Case of Large Carotid Body Tumor: Surgical Challenge

Jena, Amitabh; Reddy, Gajjala Venkata Sivanath; Kadiyala, Vinay; Brinda, Kuraparthy; Patnayak, Rashmi; Chowhan, Amit Kumar

doi:10.4103/0972-0820.186726

Cited by 3 publications

(3 citation statements)

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“…Carotid body initially described by von Haller in 1743 is a chemosensitive organ located in the adventitia of carotid bifurcation, which plays an important role in controlling blood pressure and body temperature. 5,8,9) CBTs are rare, slow-growing, hypervascular neuroendocrine benign tumors which arise from the carotid body with an overall incidence of 0.002%. [1][2][3] However, it is still the most com-mon type of paraganglioma and the only disease affecting the carotid body.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Excision of Carotid Body Tumor at an Early Stage Has Best Outcome: Result of 22 Cases along with Literature Review

Rashid

Jamil

Aman³

2020

Annals of Vascular Diseases

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Objective : The objective of this study is to share our experience of early surgical excision of highly vascular carotid body tumor (CBT) and to correlate it with current literature. Materials and Methods : Data of all consecutive patients diagnosed with CBT from September 2011 to September 2018, who underwent surgical excision, was analyzed. Results : Of the 22 cases with mean age of 42±standard deviation (SD) 6 years and female to male ratio of 1.2 : 1, 68.1% (n=15) of the tumors were on the right side. There were 13.6% (n=3) Shamblin I, 77.2% (n=17) Shamblin II, and 9% (n=2) Shamblin III tumors. Complete excision without vascular reconstruction was achieved in 63.6% (n=14), while patch plasty with Dacron graft was noted in 29.4% (n=5) and interposition Dacron grafting 13.6% (n=3). Peroperative vascular shunt was deployed in 13.6% (n=3) of cases. Transient neuropraxia of the hypoglossal nerve was noted in 13.6% (n=3) of cases, while permanent drooping of the lower lip was noted in 4.5% (n=1). There was no ischemic stroke. The mortality rate was zero, and no recurrence was recorded in mean follow-up of 24±SD 3 months. Conclusion : Complete surgical excision of CBT at an early stage, regardless of size, is associated with the best outcome.

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Section: Discussionmentioning

confidence: 99%

“…3) The curative treatment of choice is complete surgical resection. 5) Data on the management of CBT in South Asian population is limited. The purpose of our study is to share our experience regarding presentation, diagnosis, treatment, and outcome of CBTs in our population along with review of literature.…”

Section: Introductionmentioning

confidence: 99%

Surgical Excision of Carotid Body Tumor at an Early Stage Has Best Outcome: Result of 22 Cases along with Literature Review

Rashid

Jamil

Aman³

2020

Annals of Vascular Diseases

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“…The cut surface is typically solid with a smooth, rubbery texture but may display some areas of haemorrhage. Actual size of the tumours vary greatly [1], some as large as 8 × 7 cm have been reported [19]. Histologically, a carotid body's glomus consists of Type I and Type II cells [20].…”

Section: Discussionmentioning

confidence: 99%

Carotid body paragangliomas – clinical variety and management (RCD code: I-O)

Chmiel

Loska

Brzychczy

et al. 2019

Journal of Rare Cardiovascular Diseases

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Paragangliomas (PGLs) are a group of rare, slow-growing tumours which are found between the base of the skull and the pelvis. The tumour is often asymptomatic, although a lump on the neck, cranial nerve palsy, or neck pain may be present. The treatment of choice is surgical resection. We present the cases of 7 patients (6 females) diagnosed with 9 PGLs of the carotid body (carotid body tumours -CBTs). These include: one case with known genetic burden, one of an advanced bilateral and recurrent tumour, and one with a malignant tumour. All presented CBTs were surgically removed. The size of a tumour correlates with postoperative complications. Resection of the largest lesion was associated with persistent left recurrent laryngeal, hypoglossal, and partial facial nerve paralysis. Other complications included single cranial nerve palsy and temporary Horner syndrome.

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