1997
DOI: 10.1001/archsurg.1997.01430270065013
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Diagnostic and Therapeutic Approaches to Carotid Body Tumors

Abstract: Our standard diagnostic procedure consists of establishing diagnosis by Doppler color flow sonography, angiography for detailing the vascularization of the tumor, and selective embolization to enable safer surgery with less bleeding. Early surgery is recommended to minimize major risks.

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Cited by 103 publications
(55 citation statements)
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References 33 publications
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“…On sonography, paraganglioma present as a well-defined, solid hypoechoic mass and on colour Doppler imaging, hypervascularity with a low-resistance flow pattern is seen [10]. Colour Doppler and angiography are crucial in showing vascularisation details of the tumour [11]. Computed tomography and magnetic resonance imaging reveal a well circumscribed mass at or above the carotid bifurcation, which splays the internal and external carotid arteries.…”
Section: Discussionmentioning
confidence: 99%
“…On sonography, paraganglioma present as a well-defined, solid hypoechoic mass and on colour Doppler imaging, hypervascularity with a low-resistance flow pattern is seen [10]. Colour Doppler and angiography are crucial in showing vascularisation details of the tumour [11]. Computed tomography and magnetic resonance imaging reveal a well circumscribed mass at or above the carotid bifurcation, which splays the internal and external carotid arteries.…”
Section: Discussionmentioning
confidence: 99%
“…The high risk of FNA related bleeding can be minimised by proper technique, minimal needle calibre and minimal possible pricks [21,22]. Color Doppler or CT scan guided FNA would be better to reduce complications if clinical diagnosis is inconclusive [23,24].…”
Section: Discussionmentioning
confidence: 99%
“…A proposed diagnostic and therapeutic algorithm is presented in Fig. 3 [23,24]. The combined therapeutic approach with preoperative selective embolization followed by surgical resection from an experienced team in the cervical region and vascular reconstruction techniques represents a safe and effective treatment that leads to improved operative results with less adverse outcomes.…”
Section: Discussionmentioning
confidence: 99%