medigraphic.com
Colegio de Medicina Interna de México.

2005, Number 3

<< Back Next >>

Med Int Mex 2005; 21 (3)

Paraganglioma of the carotid body, diagnosis and treatment. A report of a case and bibliographic review

Soto AJ, Guevara AE, García GJ, Scheffler HML, Gómez ZJ

Language: Spanish
References: 20
Page: 234-239
PDF size: 164.38 Kb.


ABSTRACT

Paragangliomas of the carotid body are infrequent tumors, usually benign, asymptomatic and of slow growth. The diagnosis was suggested by ultrasound, computed tomography and fine needle aspiration biopsy, this one, nevertheless having been conclusive in the indication of the carotid angiography, is not advisable for patients in whom the diagnosis is suspected through the non invasive methods mentioned before. Likewise, surgical exploration for biopsy of the neck mass, without preoperative studies of radiology and image, is contraindicated. At the present time, digital subtraction carotid angiography represents the election procedure in the diagnosis of the paragangliomas of the carotid body due to its high sensitiveness, specification and definition of anatomical details with great neatness, and because its easy interpretation exceeds non invasive studies (ultrasound, doppler color, computed tomography and magnetic resonance imaging). The election treatment is tumor resection of which, in our case, belonged to type I of Shamblin and involves tumor extirpation with preservation of the carotids. Radiotherapy is indicated in unresectable tumors and in malignant injuries. The evolution of this case has been satisfactory and under observation during one year hitherto.


REFERENCES

  1. Wang SJ, Wang MB, Barauskas TM, et al. Surgical management of carotid body tumors. Otolaryngol Head Neck Surg 2000;123(3):202-6.

  2. William R. Shamblin MD. Carotid body tumor. Am J Surg 1971;122:732-9.

  3. Bastounis E, Maltezos C, Pikoulis, et al. Surgical treatment of carotid body tumors. Eur J Surg 1999;165(3):198-202.

  4. Bora E, Baysal MD. Genetics of familiar paragangliomas, past, present and future. Otolaryngol Clin North Am 2001;34(5):863-79.

  5. Wasserman PG, Savargaonkar P. Paragangliomas: classification, pathology and differential diagnosis. Otolaryngol Clin North Am 2001;34(5):845-62.

  6. Lustrin ES, Palestro C, Vaheesan K, et al. Radiographic evaluation and assessment of paragangliomas. Otolaryngol Clin North Am 2001;34(5):829-36.

  7. McCaffrey T, Myssiorek D, Marinan M, et al. Head and neck paragangliomas: physiology and biochemistry. Otolaryngol Clin North Am 2001;34(5):845-62.

  8. Kohn JS, Raftery KB, Jewell ER, et al. Familial carotid body tumors: a closer look. J Vasc Surg 1999;29(4):649-53.

  9. van der Mey AG, Jansen JC, van Baalen JM, et al. Management of carotid body tumors. Otolaryngol Clin North Am 2001;34(5):907-24.

  10. Myssiorek D. Head and neck paragangliomas: an overview. Otolaryngol Clin North Am 2001;34(5):829-36.

  11. Das DK, Gupta AK, Chowdhury V, et al. Fine-needle aspiration diagnosis of carotid body tumor: report of a case and review of experience with cytologic features in four cases. Diagn Cytopathol 1997;17(2):143-7.

  12. Muhm M, Polterauer P, Gstottner W, et al. Diagnostic and therapeutic approaches to carotid body tumors. Review of 24 patients. Arch Surg 1997;132(3):279-84.

  13. Leonetti JP, Donzelli JJ, Littooy FN, et al. Perioperative strategies in the management of carotid body tumors. Otolaryngol Head Neck Surg 1997;117(1):111-5.

  14. Bernard RP. Carotid body tumors. Am J Surg 1992;163:494-6.

  15. Halpern VJ, Cohen JR. Management of the carotid artery in paraganglioma surgery. Otolaryngol Clin North Am 2001;34(5):983-91.

  16. Maxwell JG, Jones SW, Wilson E, et al. Carotid body tumor excisions: adverse outcomes of adding carotid endarterectomy. J Am Coll Surg 2004;198(1):36-41.

  17. Tripp HF Jr, Fail PS, Beyer MG, et al. New approach to preoperative vascular exclusion for carotid body tumor. J Vasc Surg 2003;38(2):389-91.

  18. Mendenhall WM, Hinerman RW, Amdur RJ, et al. Treatment of paragangliomas with radiation therapy. Otolaryngol Clin North Am 2001;34(5):1007-20.

  19. Marchesi M, Biffoni M, Nobili-Benedetti R, et al. Surgical treatment of paragangliomas of the neck. Int Surg 1997;82(4):394-7.

  20. Najibi S, Terramani TT, Brinkman W, et al. Carotid body tumors. J Am Coll Surg 2002;194(4):538-9.




2020     |     www.medigraphic.com