Carotid body paraganglioma manifesting as a malignant solitary mass on imaging: a case report

Chiu, G.; Edwards, Andrew I.; Akhtar, Shakeel; Hill, Jonathan; Hanson, Isabelle M.

doi:10.1016/j.tripleo.2009.12.014

Cited by 6 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the case of carotid PG, color duplex US may show a highly vascular, solid hypoechoic lesion at the carotid bifurcation [1, 8, 9]. In our case, US showed a 2 cm, round, heterogenic lesion just above the carotid artery bifurcation with hypoechoic parts, which grew around the internal and external carotid artery.…”

Section: Discussionmentioning

confidence: 57%

“…However, if clinical presentation of the tumour is not straightforward, FNAB may be used but results are usually difficult to interpret [7–9]. The cytological appearance can easily be mistaken for a metastatic tumour due to the high variant morphologic behaviour of neouroendocrine tumours [8]. In the case of our patient, the cells with moderate or no cytoplasm, and with some nest arrangement were described in the cytological specimen, which could indicate chief cells in paraganglia with nests corresponding to Zellballen seen in the case of carotid PG [7].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A patient with a painless neck tumour revealed as a carotid paraganglioma: a case report

et al. 2014

View full text Add to dashboard Cite

Carotid paragangliomas are usually slowly enlarging and painless lateral neck masses. These mostly benign lesions are recognized due to their typical location, vessel displacement and specific blood supply, features that are usually seen on different imaging modalities. Surgery for carotid paraganglioma can be associated with immediate cerebrovascular complications or delayed neurological impairment.We are reporting the case of a 36-year-old man who presented with a painless mass on the right side of his neck 11 months after being treated for testicular cancer. After a fine-needle aspiration biopsy, he was diagnosed with a testicular cancer lymph node metastasis. Neck US and fluorine [F-18]-fluorodeoxy-D-glucose (FDG) PET-CT showed no signs of hypervascularity or vessel displacement. The patient underwent a level II to V functional neck dissection. During the procedure, suspicion of a carotid paraganglioma was raised and the tumour was carefully dissected from the walls of the carotid arteries with minimal blood loss and no cranial nerve dysfunction.The histology report revealed carotid paraganglioma with no metastasis in the rest of the lymph nodes. The patient’s history of testicular germ cell tumour led to a functional neck dissection during which a previously unrecognized carotid paraganglioma was removed.Surgery for carotid PG can be associated with complications that have major impact on quality of life. A thorough assessment of the patient and neck mass must therefore be performed preoperatively in order to perform the surgical procedure under optimal conditions.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

A patient with a painless neck tumour revealed as a carotid paraganglioma: a case report

et al. 2014

View full text Add to dashboard Cite

show abstract

“…However, the exact role of FNAB in the diagnosis of these tumors currently remains controversial. The main concern in performing a pre-operative FNAB on suspected PGLs is the risk of hemorrhage and hematoma [22,24]. In our case, carotid body tumor suggested the impression of a thyroid nodule, so FNAB was performed, but no complication was seen as a result of biopsy.…”

Section: Discussionmentioning

confidence: 73%

“…FNAB can be performed on numerous occasions to establish a diagnosis of PGLs [19][20][21][22][23][24]. However, the exact role of FNAB in the diagnosis of these tumors currently remains controversial.…”

Section: Discussionmentioning

confidence: 99%

A Carotid Body Tumor Mimicking a Thyroid Nodule

Baser

2014

J Med Cases

View full text Add to dashboard Cite

Paragangliomas (PGLs) are neuroendocrine tumors arising from the extra-adrenal chromaffin tissue of the autonomic nervous system. They are most frequently found in the head and neck, mainly associated with the carotid body, vagus nerve, jugulotympanic paraganglia, and occasionaly, the superior-inferior paraganglia. Paragangliomas are rarely encountered in thyroid as well, and thyroid paragangliomas can be misinterpreted as medullary thyroid carcinomas. However, cases of paragangliomas mimicking thyroid nodules were also reported in literature rarely. In this article, we reported a case first giving an impression of a thyroid nodule, then suggesting the likelihood of a medullary thyroid carcinoma or intrathyroidal paraganglioma via core needle biopsy, but finally was diagnosed as a carotid body tumor.

show abstract

“…[11–16] However, the exact role of FNA in diagnosis of these tumors has not been currently established. The main concern in performing a pre-operative FNA on suspected PGLs is the risk of hemorrhage and hematoma.…”

Section: Discussionmentioning

confidence: 99%

Paraganglioma with unusual presentation in parotid gland: A diagnostic dilemma in fine needle aspiration

et al. 2012

View full text Add to dashboard Cite

Paragangliomas (PGLs) are uncommon tumors. Although PGLs are known to occur in the head and neck region, especially the carotid body, middle ear, and larynx, involvement of the parotid glands has not been reported. In this article, we report the fine needle aspiration features of tumor in an unusual location, presenting as a parotid gland mass, submitted to pathology for initial diagnosis. The clinical presentation, cytomorphology, and the immunohistochemical features for the diagnosis are described. To our knowledge, this is the first case of paraganglioma of the parotid gland reported in the literature.

show abstract

Carotid body paraganglioma manifesting as a malignant solitary mass on imaging: a case report

Cited by 6 publications

References 12 publications

A patient with a painless neck tumour revealed as a carotid paraganglioma: a case report

A patient with a painless neck tumour revealed as a carotid paraganglioma: a case report

A Carotid Body Tumor Mimicking a Thyroid Nodule

Paraganglioma with unusual presentation in parotid gland: A diagnostic dilemma in fine needle aspiration

Contact Info

Product

Resources

About