Multidisciplinary Approach to Large Carotid Body Tumors

Patel, Sunny; Alslaim, Hossam; Mitchell, Andrew; Ramı́rez, Manuel

doi:10.1177/000313481908500916

Cited by 1 publication

(2 citation statements)

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“…2) Some patients (>10%) may present with carotid sinus syndrome characterized by bradycardia, hypotension, and syncope. [2][3][4] All of our patients noticed a painless lump in the anterior part of the neck just below the angle of mandible. Only two patients (9%) presented with lump along with dizziness/syncope.…”

Section: Discussionmentioning

confidence: 96%

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Surgical Excision of Carotid Body Tumor at an Early Stage Has Best Outcome: Result of 22 Cases along with Literature Review

Rashid

Jamil

Aman³

2020

Annals of Vascular Diseases

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Objective : The objective of this study is to share our experience of early surgical excision of highly vascular carotid body tumor (CBT) and to correlate it with current literature. Materials and Methods : Data of all consecutive patients diagnosed with CBT from September 2011 to September 2018, who underwent surgical excision, was analyzed. Results : Of the 22 cases with mean age of 42±standard deviation (SD) 6 years and female to male ratio of 1.2 : 1, 68.1% (n=15) of the tumors were on the right side. There were 13.6% (n=3) Shamblin I, 77.2% (n=17) Shamblin II, and 9% (n=2) Shamblin III tumors. Complete excision without vascular reconstruction was achieved in 63.6% (n=14), while patch plasty with Dacron graft was noted in 29.4% (n=5) and interposition Dacron grafting 13.6% (n=3). Peroperative vascular shunt was deployed in 13.6% (n=3) of cases. Transient neuropraxia of the hypoglossal nerve was noted in 13.6% (n=3) of cases, while permanent drooping of the lower lip was noted in 4.5% (n=1). There was no ischemic stroke. The mortality rate was zero, and no recurrence was recorded in mean follow-up of 24±SD 3 months. Conclusion : Complete surgical excision of CBT at an early stage, regardless of size, is associated with the best outcome.

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Section: Discussionmentioning

confidence: 96%

“…2) The patient may present with neurological symptoms such as cranial nerve palsies and carotid sinus syndrome resulting in dizziness and syncope. 4) Digital subtraction angiography is the gold standard for the diagnosis of CBTs. 3) The curative treatment of choice is complete surgical resection.…”

Section: Introductionmentioning

confidence: 99%