Management of cervical paragangliomas: review of a 15-year experience

Antonitsis, Polychronis; Saratzis, Nikolaos; Velissaris, Ioannis; Lazaridis, Ioannis; Melas, Nikolaos; Ginis, G.; Giavroglou, Constantinos; Kiskinis, Dimitrios

doi:10.1007/s00423-006-0047-3

Cited by 40 publications

(26 citation statements)

References 22 publications

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“…More importantly, preoperative embolization is effective in reducing intraoperative hemorrhage, provided that it is performed no more than 48 hours prior to surgery. Longer delays can lead to an intense inflammatory response and the establishment of collateral blood supply [25]. When internal carotid artery vascular reconstruction, resection, or bypass is contemplated intraoperatively, intra-arterial angiography can be combined with a balloon occlusion test for assessment of the cerebral vasculature and prediction of neurovascular sequelae.…”

Section: Functional Imagingmentioning

confidence: 99%

Paragangliomas of the head and neck

Kupferman

Hanna²

2008

Curr Oncol Rep

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Paragangliomas (PGs) are rare tumors of the head and neck that require a multidisciplinary approach to their management. The recent elucidation of the genetic and molecular etiology for this disease has led to significant advances in our understanding of this disease and has had an important clinical impact. Consideration of genetic testing is strongly suggested for selected patients and their family members. Surgical therapy remains the treatment of choice for most tumors, although a role for stereotactic radiotherapy is emerging. This review highlights some of the advances made in recent years regarding the diagnosis and treatment of PG.

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Section: Functional Imagingmentioning

confidence: 99%

Paragangliomas of the head and neck

Kupferman

Hanna²

2008

Curr Oncol Rep

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“…Although paragangliomas of the head and neck are generally benign, rare lesions, clinicians and pathologists are still confused about the diagnosis and treatment modalities [2][3][4]10 . The clinical symptoms vary according to size and location of the paraganglioma.…”

Section: Discussionmentioning

confidence: 99%

A jugulotympanic paraganglioma with craniocervical extension

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…An important lesson in this report is the need for multiple radiologic modalities in defining the anatomy of any JP. CT, MRI, and digital subtraction angiography (DSA) are important for complete depiction and preoperative planning 2,4,6 . Unfortunately, determination of intra‐ and extracranial extensions may be challenging because variable pathways are possible 2 .…”

Section: Discussionmentioning

confidence: 99%

Secreting Jugulotympanic Paraganglioma With Venous Involvement into the Thorax

2008

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Paragangliomas are highly vascular tumors that arise from chief cells in extra-adrenal paraganglia of the autonomic nervous system. Jugulotympanic paragangliomas involve the middle ear and jugular fossa. Secreting jugulotympanic paragangliomas with thoracic extension are rare. We report a case with unexpected involvement of the internal jugular vein. Otolaryngologists should be aware that the jugulotympanic paragangliomas traverse variable anatomic pathways. Multiple imaging options, including magnetic resonance venography, are useful and should include the neck for definitive characterization of tumor anatomy. Patients with refractory hypertension and masses suspicious for paraganglioma should be examined for functional tumors.

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Management of cervical paragangliomas: review of a 15-year experience

Abstract: Combined therapeutic approach with preoperative selective embolization followed by surgical resection by an experienced team offers a safe and effective method for complete excision of the tumors with a reduced morbidity rate.

Cited by 40 publications

References 22 publications

Paragangliomas of the head and neck

Paragangliomas of the head and neck

A jugulotympanic paraganglioma with craniocervical extension

Secreting Jugulotympanic Paraganglioma With Venous Involvement into the Thorax

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