ARTICLE INFOParagangliomas are non-epithelial neuroendocrine neoplasms. They are most commonly identified in the head and neck, most frequent in the carotid body, but only about 5% of carotid paragangliomas are bilateral. Surgery is an effective treatment although it may be difficult in patients with the advanced types. Here we present a rare case of bilateral malignant carotid paraganglioma in a female patient treated with two-step surgery and life-long surveillance.
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