Diagnostic and Therapeutic Approaches to Carotid Body Tumors

Muhm, Manfred; Polterauer, P; Gstöttner, Wolfgang; Temmel, Andreas F P; Richling, B.; Undt, Gerhard; Niederle, Bruno; Staudacher, M; Ehringer, H

doi:10.1001/archsurg.1997.01430270065013

Cited by 103 publications

(55 citation statements)

References 33 publications

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“…On sonography, paraganglioma present as a well-defined, solid hypoechoic mass and on colour Doppler imaging, hypervascularity with a low-resistance flow pattern is seen [10]. Colour Doppler and angiography are crucial in showing vascularisation details of the tumour [11]. Computed tomography and magnetic resonance imaging reveal a well circumscribed mass at or above the carotid bifurcation, which splays the internal and external carotid arteries.…”

Section: Discussionmentioning

confidence: 99%

“Carotid body tumour: A case report”

Gayen¹,

Das²,

Ray³

2014

IOSRJPBS

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Section: Discussionmentioning

confidence: 99%

“Carotid body tumour: A case report”

Gayen¹,

Das²,

Ray³

2014

IOSRJPBS

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“…The high risk of FNA related bleeding can be minimised by proper technique, minimal needle calibre and minimal possible pricks [21,22]. Color Doppler or CT scan guided FNA would be better to reduce complications if clinical diagnosis is inconclusive [23,24].…”

Section: Discussionmentioning

confidence: 99%

Paragangliomas of the Carotid Body: Current Management Protocols and Review of Literature

Naik

Shenoy

Nanjundappa

et al. 2013

Indian J Surg Oncol

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Paraganglioma is a rare neoplasm arising from carotid body usually benign and constitute 0.5 % of all total body tumors. They constitute 60-70 % of head and neck paraganglioma and resemble other paragangliomas of the body like glomus jugulare, glomus tympanicum, and pheochromocytoma. This is a retrospective analysis of the medical records of carotid body paraganglioma cases. Nine patients operated during the study period and the follow up traced were included in the study. Seven females and 2 males were analysed. Six had tumor on the left side and 3 had on the right side. All the cases surgical excision was done by a tranverse incision as 2 patients had Shamblin I, 5 patients had Shamblin II, and 1 patients Shamblin IIIa. All the Shamblin I had tumor away from the carotids and were easily dissected without vessel damage, a sub adventitial tumor excision was performed in all the 5 cases of Shamblin II, 1 case of Shamblin IIIa was dissected with difficulty without sacrificing or vessel reconstruction. Paraganglioma of the carotid body should be considered as a differential diagnosis for painless lateral neck masses. Larger tumors need a multidisciplinary team of head and neck with vascular surgeons for better results.

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“…A proposed diagnostic and therapeutic algorithm is presented in Fig. 3 [23,24]. The combined therapeutic approach with preoperative selective embolization followed by surgical resection from an experienced team in the cervical region and vascular reconstruction techniques represents a safe and effective treatment that leads to improved operative results with less adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%