2005, Number 4
Carotid, jugular and aortics paragangliomas. 25 years experience
Martínez LC, Sánchez MB, Arriola GHF, Llaven RR, Bacelis ARA
Language: Spanish
References: 11
Page: 110-113
PDF size: 323.92 Kb.
ABSTRACT
Objective: To determine the tumor most frequent localization, presentation, appearance, diagnosis confirmation and provided treatment, as well as the complications among paraganglioma-diagnosed patients between January 1974 and July1999 in several IMSS hospitals, where the author has worked.Methods: We made retrospective revision between 1974 and 1999, obtaining a total of 92 carotid, jugular and aortic cases of paragangliomas. The age average was of 40 years, with predominance of feminine sex (80.43%), the bilaterality appeared in the carotid localization and it was of 4.34%. The ultrasound was made in 100% and arteriography in 95.65%.
Results: During the surgery the tumors of the caroticum glomus were classified according to Shamblin in: type I 63.85%, 28.91% type II and type III the 7.22%. Two deaths were registered, one occurred in a paraganglioma of the aortic bifurcation and another in one of the carotids. There was affection of craneal nerve pairs in 16 cases (17.97%), the hypoglossus, the recurrent laringeal nerve and the superior laringeal nerve being affected. The patients’ follow-up by ultrasound did not show any relapse of the tumor.
Conclusions:. The data provided by our revision with respect to localization and results after surgery, are similar to others published by different series.
REFERENCES