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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2008, Number 3

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An Med Asoc Med Hosp ABC 2008; 53 (3)

Experience and management of tumors of the carotid body in the National Medical Center November 20

González AJM, Ortega MBA, Trejo MA, Contreras RVR

Language: Spanish
References: 33
Page: 120-126
PDF size: 146.23 Kb.


ABSTRACT

We report our experience in diagnosis, treatment and follow up of 13 cases of carotid body tumors, from January 2002- June 2007. All our patients were female, with ages ranging between 27 to 74 years, with an average of 50.7 years. The evolution time from detection to surgical resection was from 6 months to 15 years. The symptoms they presented were local pain in 23% of the cases, vertigo (15.3%), neck paresthesia and tinnitus in 7.6%. As a diagnosis method, angiography and axial computerized tomography were performed in 12 patients, and magnetic resonance in one. The tumor was located in the right side in 6 patients, left side in 5 and in 2 patients it was bilateral. According to Shamblin’s classification, 1 patient was located in Type I, 8 patients in Type II, and the rest in type III. Tumor size was between 3 x 2 x 1 cm to 6.8 x 4 x 4.2 cm. The average bleeding was 756.1 cc with a range between 150 to 3000 cc. During the procedure, there was the need to clamp vessels: external carotid, internal jugular artery, lingual, facial and thyroid arteries. The histological diagnosis was benign in all the cases. Only one patient had considerable post-operative sequelae: a thrombotic vascular cerebral accident with right face-body hemiparesia. The patients were kept on vigilance, but 3 of them abandoned the follow-up.


REFERENCES

  1. Netterville JL, Reilly KM, Robertson D et al. Carotid body tumors: A review of 30 patients with 46 tumors. Laryngoscope 1995; 105: 115-126.

  2. Khan Q, Heath D, Smith P. Anatomical variations in human carotid bodies. J Clin Pathol 1988; 41: 1196-1199.

  3. Heath D. The human carotid body. In: Health and disease. J Pathol 1991; 164: 1-8.

  4. Saldana MJ, Salen LE, Travezan R. High altitude hypoxia and chemodectomas. Hum Pathol 1973; 4: 251-263.

  5. Manfred M, Polterauer P, Gstottner W et al. Diagnostic and therapeutic approaches to carotid body tumors: Review of 24 patients. Arch Surg 1997; 132: 279-284.

  6. Arias Stella J, Bustos F. Chronic hipoxia and chemodectomas in bovines at high altitudes. Arch Pathol Lab Med 1976; 100: 636-639.

  7. Kohn SJ, Raftery BK, Jewell RE. Familial carotid body tumors: A closer look. J Vasc Surg 1999; 29: 649-653.

  8. Ridge BA, Brewster DC, Darling RC, Cambria RP, Lamuraglia GM, Abbott WM. Familial carotid body tumors: incidence and implications. Ann Vasc Surg 1993; 7: 190-194.

  9. Pacheco-Ojeda L. Malignant carotid body tumors: Report of three cases. Ann Otol Rhinol Laryngol 2001; 110: 36-40.

  10. Chung WB. The carotid body tumour. Can J Surg 1979; 22: 319-322.

  11. Brown JW, Burton RC, Dahlin DC. Chemodectoma with skeletal metastasis: Report of two cases. Mayo Clin Proc 1967; 42: 351-555.

  12. Monro RS. The natural history of carotid body tumors and their diagnosis and treatment with a report of five cases. Br J Surg 1960; 37: 445-453.

  13. Janen CJ, Baatenburg de Jong JR, Schipper J, Van der Mey GLA, Van Gils PGA. Color Doppler imaging of paragangliomas in the neck. J Clin Ultrasound 1997; 25: 481-485.

  14. Van den Berg R, van Gils AP, Wasser MN. Imaging of head and neck paragangliomas with three-dimensional time-of-flight MR angiography. Am J Roentgenol 1999; 172: 1667-1673.

  15. Zidi A, Bouaziz N, Mnif N, Kribi L, Kara M et al. Carotid body tumors: contribution of the various imaging techniques. A report of six cases. J Radiol 2000; 81: 953-957.

  16. Shamblin WR, ReMine WH, Sheps SG, Harrison EG Jr. Carotid body tumor (chemodectoma): Clinicopathologic analysis of ninety cases. Am J Surg 1971; 122: 732-739.

  17. Hinerman RW, Mendenhall WM, Amdur RJ, Stringer SP, Antonelli PJ, Cassisi NJ. Definitive radiotherapy in the management of chemodectomas arising in the temporal bone, carotid body, and glomus vagale. Head Neck 2001; 23: 363-371.

  18. Smith RF, Shetty PC, Deddy DJ. Surgical treatment of carotid paragangliomas presenting unusual technical difficulties. The value of preoperative embolization. J Vasc Surg 1988; 7: 631-637.

  19. Hallett JW, Nora JD, Hollier LH, Cherry KJ Jr, Pairolero PC. Trends in neurovascular complications of surgical management for carotid body and cervical paragangliomas: A fifty-year experience with 153 tumors. J Vasc Surg 1988; 7: 284-291.

  20. Krupski WC, Effeney DJ, Ehrenfeld WK, Stoney RJ. Cervical chemodectoma: Technical considerations and management options. Am J Surg 1982; 144: 215-220.

  21. Farrar T, Kirklin JW, Judd ES Jr et al. Resection of carotid body tumors with preservation of the carotid vassels. Arch Surg 1956; 72: 595-598.

  22. Wilson H. Carotid Body Tumors: Newer Methods of Diagnosis and Treatment. Amer. Surgeon 1970; 145-151.

  23. Javid H, Chawla SK, Dye WS et al. Carotid body tumors. Arch Surg 1976; 111: 344-347.

  24. Dickinson PH, Griffin SM, Guy AJ. Carotid body tumor: Thirty years experience. Br J Surg 1986; 73: 14-16.

  25. McPherson GA, Halliday AW, Mansfield AO. Carotid body tumors and other cervical paragangliomas, diagnosis and management in 25 patients. Br Surg 1989; 76: 33-36.

  26. Meyer FB, Sundt TM Jr, Pearson BW. Carotid body tumors. A subject review and suggested surgical approach. J Neurosurg 1986; 64: 377-385.

  27. Mellrad DC, Remine WH. Carotid body tumors. Surg Clin North Am 1963; 43: 1135-1144.

  28. Rabl H, Friehs I, Gutschi S, Pascher O, Koch G. Diagnosis and treatment of carotid body tumors. Thorac Cardiovasc Surg 1993; 41: 340-343.

  29. Hallett JW, Nora JD, Hollier LH, Cherry KJ Jr, Pairolero PC. Trends in neurovascular complications of surgical management for carotid body and cervical paragangliomas: a fifty-year experience with 153 tumors. J Vasc Surg 1988; 7: 284-291.

  30. Bestler JM, Toimey JM. Malignant Corotid Body Tumor. Arch Otolaryng 1969; 89: 752-755.

  31. Salyer KE, Etchum LD, Robinson DW, Masters FW. Surgical management of cervical paragangliomata. Aech Surg 1969; 98: 572-578.

  32. Rush BJ. Current concepts in the treatment of the carotid body tumors. Surgery 1962; 8: 679-684.

  33. Barrera FJL, Támez de León MD, Ramírez MM, Martínez CE, Ruiz-Godoy LM, Granados GM, Herrera GA. El manejo de los paragangliomas en el Instituto Nacional de Cancerología. Rev Inst Nal Cancerol (Mex) 2000; 46 (1): 17-20.




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