1988
DOI: 10.1007/bf01655498
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Carotid body tumors at high altitudes: Quito, Ecuador, 1987

Abstract: Carotid body tumors seem to be encountered more frequently in people living at high altitudes. Twenty lesions operated in 19 patients at a general hospital in Quito, Ecuador over a period of only 5 years are reported. All patients lived in the highlands of the Andean region. There was no operative mortality, and morbidity was comparable to other series. No malignant cases were found. A higher degree of suspicion to recognize tumors and to operate at an earlier stage of development and thereby diminish operativ… Show more

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Cited by 58 publications
(25 citation statements)
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“…Populations living at higher elevations or in a chronic hypoxic state are thought to have a higher incidence of paragangliomas. [18][19][20] The clinical prognosis of carotid body tumors is usually favorable due to their location and relative accessibility for surgical resection. 21 However, surgery can be challenging because the tumor is highly vascular and often densely adherent to the carotid bifurcation with intimate association of cranial nerves X and XII.…”
Section: 13mentioning
confidence: 99%
“…Populations living at higher elevations or in a chronic hypoxic state are thought to have a higher incidence of paragangliomas. [18][19][20] The clinical prognosis of carotid body tumors is usually favorable due to their location and relative accessibility for surgical resection. 21 However, surgery can be challenging because the tumor is highly vascular and often densely adherent to the carotid bifurcation with intimate association of cranial nerves X and XII.…”
Section: 13mentioning
confidence: 99%
“…Usually, CT and computed tomographic angiography (CTA) scans, magnetic resonance (MR) and magnetic resonance angiography (MRA) imaging, conventional ultrasounds, color Doppler ultrasounds and carotid conventional angiography (CA) are used (22). The CT images best revealed the shape, size, margin, blood supply and adjacent infiltrations of the tumor in the present case.…”
Section: Discussionmentioning
confidence: 84%
“…In particular, a previous study showed that the hemodynamic analysis obtained using CTA contributed to the accurate evaluation of the morphology of the vascular wall and the identification of tumor invasion to the middle layer and tunica intima of the carotid wall (14). According to our previous clinical experience, we recommend complete evaluation of tumor invasion to the carotid artery prior to the surgery and, concomitantly, appropriate evaluation of brain ischemic tolerance in order to evaluate whether the cerebral collateral circulation has been established.…”
Section: Discussionmentioning
confidence: 99%