Indication for Surgery in the Presence of Familial Bilateral Carotid Body Tumours

Toma, Giorgio De; Sapienza, Paolo; Letizia, Claudio; Nicolanti, Virgilio; Piccirillo, Gianfranco; Basile, Ursula; Cavallaro, Antonino

doi:10.1016/s1533-3167(03)00072-4

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Another complication that we should consider, if we resect, even sequentially, two CPGs, is the risk of unstable hypertension due to denervation of the carotid sinus baroreceptors (baroreceptor failure syndrome) 52,53 . This rare eventuality, which is increasingly recognized, has prompted some researchers to advise follow‐up of the second CPG and surgery only in the case of tumor growth 47,54 . Primary radiotherapy of both carotids does not guarantee that sinus failure syndrome will not occur.…”

Section: Discussionmentioning

confidence: 99%

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Simple and complex carotid paragangliomas. Three decades of experience and literature review

et al. 2020

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Background: Carotid paragangliomas are rare tumors. They are usually unique, non-secreting, resectable, and benign. However, additional rare cases of complex tumors (bilateral, secretory, nonresectable, or malignant) complicate the management and final outcomes. Methods: Records of paragangliomas from our hospital are reviewed. Criteria defining complex paragangliomas have been previously defined. These are compared with those of the simple group. Results: Fifty patients, two groups: simple (n = 39) and complex (n = 11). The patients in the complex group were significantly younger (47.7 vs 63.8 years). Postoperative nerve complications (45.4% vs 6.3%) and mortality during follow-up (27.3% vs 0%) were significantly more common in the complex group. Vascular complications (0% vs 3.1%) and early mortality (0%) were similarly in both groups. Conclusions: Patients with complex carotid paragangliomas are heterogeneous. The former are younger, exhibit a high degree of diagnostic and therapeutic complexity, and have poorer morbidity and mortality. Surgical experience and interdisciplinary collaboration are essential.

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Section: Discussionmentioning

confidence: 99%

“…52,53 This rare eventuality, which is increasingly recognized, has prompted some researchers to advise follow-up of the second CPG and surgery only in the case of tumor growth. 47,54 Primary radiotherapy of both carotids does not guarantee that sinus failure syndrome will not occur.…”

Section: Bilateral Cpgsmentioning

confidence: 99%

Simple and complex carotid paragangliomas. Three decades of experience and literature review

et al. 2020

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“…El nivel de complicaciones posquirúrgicas es elevado: la mortalidad es de 1-2%, y la morbilidad, del 40%, incluyendo lesión de nervios craneales, principalmente X y XII; hemorragia, síndrome fallo barorrefl ejo, accidente cerebrovascular (13,14).…”

Section: Discussionunclassified

Glomus carotídeo bilateral. Reporte de un caso

Meza

González

Marín

et al. 2018

Acta otorrinolaringol cir cabeza cuello

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Los glomus o paragangliomas carotídeos son tumores de crecimiento lento,hipervascularizados, poco frecuentes, derivados del cuerpo carotídeo. El objetivo es presentar un caso poco frecuente de tumores glómicos carotídeos bilaterales. Para su diagnóstico se realizó angiorresonancia magnética y angiografía de cuello. Se encontró una tumoración bilateral hipervascularizada a nivel de la división de la arteria carótida común, con signo de la lira.

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“…El nivel de complicaciones operatorias es elevado, el rango de mortalidad es de 1-2% y el de morbilidad es del 40%, donde se incluye lesión a nervios craneales, hemorragia, síndrome de fallo barorrefléctico, accidente cerebrovascular, entre otros 4,13 . En el caso descrito se destaca la relevancia del antecedente hereditario de la paciente.…”

Section: Discussionunclassified

Paraganglioma de cuerpo carotídeo: reporte de un caso clínico con correlación familiar

Fernández

Colunga

Valdez

2011

Rev Esp Cirug Oral y Maxilofac

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Indication for Surgery in the Presence of Familial Bilateral Carotid Body Tumours

Cited by 3 publications

References 5 publications

Simple and complex carotid paragangliomas. Three decades of experience and literature review

Simple and complex carotid paragangliomas. Three decades of experience and literature review

Glomus carotídeo bilateral. Reporte de un caso

Paraganglioma de cuerpo carotídeo: reporte de un caso clínico con correlación familiar

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