Multidisciplinary Management of Carotid Body Tumors in a Tertiary Urban Institution

Abstract

Objective. Aim of this study is to present the experience of our institution in carotid body tumors (CBTs) treatment. Methods. All cases treated in a Vascular Surgery Department within 2.5 years (03/2013–09/2015) were retrospectively evaluated. Demographics, diagnostic, and treatment strategy were recorded. All patients with known CBT underwent ultrasound and magnetic resonance imaging preoperatively. All cases were classified according to the Shamblin type and evaluated by a radiologist, otolaryngologist, and anesthesiologist before and after surgery. Major outcomes included mortality, stroke, cranial nerve injury, and recurrence. Results. Overall, nine patients (mean age: 59.5 ± 16.3 years) with a total of ten CBTs were treated. There was no gender prevalence and most of the cases (55%) were asymptomatic. There were no functional or familial cases. There was only one bilateral case treated in a staged manner. No preoperative embolization of CBTs was performed. Mortality and stroke rates were null. No severe complication was observed in the early and late setting. No malignancy was recorded. Mean follow-up was 15.6 ± 7.8 months. Conclusions. Multidisciplinary management of patients with CBTs is imperative for optimal results, especially in type III tumors, bilateral or functional cases. After careful treatment planning and intraoperative manipulations, complications could be avoided even without preoperative embolization.

The relationship between the ABO blood group and tumor diameters in patients with carotid body tumors

“…The treatment of CBTs should be in a multidisciplinary manner. Primary surgery, preoperative embolization and radiotherapy are the main options in management depending on the size, location and biologic activity of the tumor (15,16). In literature, there is no study defining the data about blood groups in paragangliomas.…”

Karotis Cisimcigi Paragangliomalarinda Cerrahi Deneyimimiz ve Literatur Derlemesi

“…Bunu dışında yutma güçlüğü ya da kısıklığı gibi kraniyal sinir tutulumuna işaret edebilecek şikayetler de olabilir. Yine azımsanmayacak kadar olguda herhangi bir hastalık nedeniyle istenen görüntülemelerle insidental olarak tümör saptanabilir (19). Bizim serimizde de en sık doktora başvuru şikayetinin boyunda şişlik/kitle (%87.5) olduğu saptandı.…”

Case Report: Managing a giant, high-grade carotid body tumor in a resource-limited setting

“…Large and complicated vascular tumors can be managed with proper planning and execution 36 . With judicious anesthetic care and meticulous subadventitial dissection, such lesions can be managed even in a rural setup 37 .…”