Carotid Body Tumor: Our Experience with 42 Patients and a Literature Review

Sarookhani, A.; Chegini, Rojin

doi:10.1007/s12070-021-02453-8

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Se identificaron en total 31 pacientes (Tabla 2) que fueron sometidos a resección caudocraneal de tumor carotídeo, es más frecuente en mujeres en un 87% (27), la media de edad (años) fue de 50.61 ± 16.24, las principales comorbilidades fueron: hipertensión arterial sistémica y diabetes mellitus tipo 2. En la tabla 3 se describen las características del glomus: la prevalencia de complicaciones en el grupo 1-sin complicaciones (42%) y el grupo 2-con complicaciones (58%); la ubicación anatómica, fue en el lado derecho para el grupo 1 62 vs. 67%, localización en el lado izquierdo para el grupo 1,38 vs. 33%, el diagnóstico fue con base en angio-TC en el 97% de los casos; el principal motivo de consulta fue el aumento de volumen a nivel carotídeo.…”

Section: Resultsunclassified

“…Diversos autores han evaluado las complicaciones asociadas a la resección de TCC, observando que el tratamiento óptimo de los TCC debe incluir una evaluación preoperatoria exhaustiva, una definición precisa de la anatomía quirúrgica y la exclusión de los paragangliomas sincrónicos. Un enfoque terapéutico combinado realizado por un equipo multidisciplinario que incluye cirujanos y radiólogos intervencionistas proporciona un tratamiento seguro con excelentes resultados [24][25][26][27] .…”

Section: Discussionunclassified

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Prevalencia de las complicaciones asociadas a la cirugía de resección del tumor del cuerpo carotídeo

Quevedo-Hernández,

Calderón-Llamas,

Olivas-Flores

et al. 2024

RMA

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Antecedentes: Glomus o tumores del cuerpo carotídeo (TCC), conocidos como quimiodectoma o paraganglioma, son generalmente benignos. El diagnóstico se obtiene por estudios de imagen; la angiografía es el método de referencia. Tratamiento definitivo, resección quirúrgica. Las complicaciones asociadas son lesión de nervios craneales, ruptura arterial, evento vascular cerebral (EVC) y muerte. Objetivo: Determinar la prevalencia de las complicaciones asociadas a resección de TCC. Métodos: Estudio retrospectivo y analítico. Se evaluaron expedientes de pacientes sometidos a resección de TCC, periodo del 1 de enero de 2017 al 31 de diciembre de 2020. Resultados: Se evaluaron 31 pacientes sometidos a resección TCC, 94% mujeres. Se dividieron en: grupo 1 (TCC sin complicaciones, n = 13) y grupo 2 (TCC con complicaciones, n = 18). Complicaciones: vasculares 36%; lesión nerviosa en el 23%. Conclusiones: Las lesiones vasculares son la principal complicación en nuestro estudio (36%), sin embargo, son transitorias. Las lesiones nerviosas fueron permanentes en el 7% de los casos.

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Section: Resultsunclassified

Section: Discussionunclassified

Prevalencia de las complicaciones asociadas a la cirugía de resección del tumor del cuerpo carotídeo

Quevedo-Hernández,

Calderón-Llamas,

Olivas-Flores

et al. 2024

RMA

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“…Factors that predispose CBT remain unclear, despite many studies exploring possible risk factors such as gender, altitude, and hereditary diseases (10). A recent study of 42 patients showed that females are more likely to develop CBT than males (p=0.04) (11). In a large-scale multinational retrospective study of 1432 patients, a female-to-male ratio of 3:1 was observed, particularly in cities with an altitude above 2000 m, compared to a lower ratio of 2:1 in lower altitudes (12).…”

Section: Discussionmentioning

confidence: 99%

Management and Clinical Outcomes of Carotid Body Tumors: Insights from a Single-Center Study

Escobar,

Pudszuhn,

Hofmann

2023

Preprint

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Objective: Evaluate surgical outcomes of Carotid body tumors (CBT), especially postoperative complications (PC) and the influence of cranial nerve injuries (CNI) on patients’ quality of life (QoL). Design: A prospective follow-up study (2004-2020) utilizing a database from Charité University Hospital and follow-up questionnaires EORTC QLQ-C30 and QLQ-H&N43. Setting: A single-institution study. Participants: Patients with histopathologically confirmed CBT and an ICD code 44.6. Main Outcome Measures: Tumor characteristics, complications, and postoperative QoL (EORTC QLQ-C30, QLQ-H&N43) Results: From 40 identified CBT patients, 55% were females with an average age of 51.1. 47.5% tumors were right-sided; 70% presented with painless neck swelling. 12.5% had a Succinate dehydrogenase mutation. Average tumor volume was 133 cm³. CNIs affected 45%. Preoperative embolization (PE) was done in 47.5%, not reducing PC (p=0.98). No association was found between tumor size and PC: gender (p=0.7), age (p=0.847), co-morbidities (p=0.13). Average stay was 8.07 days. Patients without complications had better QoL (M=92.59 vs. M=69.44, p=.019); those without CNIs also had better QoL (p=.068). Males had superior QoL scores (p=.05). PC affected functioning, especially social functioning (p = .05) and CNX injury (p= .041). Conclusion: CBT surgery significantly affects nerve function and QoL. The results present the need for effective postoperative care, monitoring and management of complications to boost patient outcomes. Gender differences in QoL after CBT surgery merit further investigation into possible physiological and environmental factors.

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Carotid body tumor: characteristics and surgical outcome

Kakamad,

Mustafa,

Yasin

et al. 2024

J Cardiothorac Surg

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Background Carotid body tumors are uncommon neuroendocrine growths near the carotid bifurcation. While some advocate preoperative embolization to minimize bleeding, others avoid it due to complications. This study shares the experience of a single center in managing patients with carotid body tumors without practicing preoperative embolization. Methods This was a cross-sectional study of patients with carotid body tumors managed between 2020 and 2024. Data were collected from the hospital’s registry. When necessary, routine blood tests, neck ultrasonography, and computed tomography scans were conducted. The tumors were categorized according to Shamblin’s classification. The average duration of follow-up was 20 months. Results The study involved 25 patients, 22 (88%) females and 3 (12%) males. Their ages ranged from 27 to 85 years old. Twenty (80%) cases presented with neck swelling, and six (24%) had a positive medical history. Tumors were mainly on the right side (52%), with 20 (80%) showing ill-defined neck masses. Tumor sizes ranged from 1.5 to 7 cm, with Shamblin type II tumors being discovered in the majority of cases (72%). Types of tumors were significantly associated with the tumor size (p-value < 0.05). Blood transfusion was required in five cases (20%), three from type III and two from type II, with none from type I (p-value = 0.001). Temporary neurological deficits occurred in 3 cases (12%). No functional impairment or mortality was recorded. Conclusions Carotid body tumors are rare tumors with an unknown etiology. Operation without practicing preoperative embolization may be feasible with an acceptable outcome.

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Carotid Body Tumor: Our Experience with 42 Patients and a Literature Review

Cited by 4 publications

References 21 publications

Prevalencia de las complicaciones asociadas a la cirugía de resección del tumor del cuerpo carotídeo

Prevalencia de las complicaciones asociadas a la cirugía de resección del tumor del cuerpo carotídeo

Management and Clinical Outcomes of Carotid Body Tumors: Insights from a Single-Center Study

Carotid body tumor: characteristics and surgical outcome

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