Surgical Management of Carotid Body Tumors: A 15-Year Single Institution Experience Employing an Interdisciplinary Approach

Atkins, Marvin D.; Bohannon, W. Todd; Buckley, Clifford J.; Lairmore, Terry C.

doi:10.1080/08998280.2016.11929343

Cited by 38 publications

(47 citation statements)

References 20 publications

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“…The rates of complications are positive correlated with Shamblin classification [3,6,10]. Davila, et al [25] reported that the rate of permanent cranial nerve injury was 5.5%, and the rate of stroke was 1% stroke, without any perioperative mortality in their series consisting of 183 cases.…”

Section: Discussionmentioning

confidence: 94%

“…The majority of these tumors are asymptomatic and initially noticed by inspection and palpation of neck swelling during the physical examination, or more commonly as incidental findings on radiological imaging studies. Nonetheless, the most observed symptoms are pain, dysphagia and autonomic dysfunction in symptomatic cases [3]. Although CBTs are benign lesions, they have a tendency to turn into malignant tumors in approximately 10% of all cases [4].…”

Section: Introductionmentioning

confidence: 99%

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Carotid body tumors: A report of three cases and current literature review

Müdüroğlu¹,

Yuksel²

2017

Vascul Dis Ther

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Carotid body tumors are rare, slow-growing, hypervascular neuroendocrine tumors. Although these tumors are benign neoplasm, they also have a tendency to malignant transformation. Complete surgical excision is the gold standard therapeutic modality for the treatment of carotid body tumors. Early surgical removal is recommended to prevent the development of larger and more advanced tumors, which are associated with higher morbidity and mortality. In this report, we presented three cases of carotid body tumor which were successfully treated with complete surgical excision, and reviewed the current literature. Furthermore, it was emphasized the necessity of early surgical management regardless of patient age and tumor size.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Carotid body tumors: A report of three cases and current literature review

Müdüroğlu¹,

Yuksel²

2017

Vascul Dis Ther

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“…The carotid body is a highly vascular structure measuring on average 7 mm × 4 mm × 2 mm, its location is variable and is usually located in the adventitia of the posteromedial aspect of the carotid bifurcation [16][17][18][19][20][21][22][23][24][25]. The carotid body involves a blood volume that is 10 times more than the heart myocardium and 25 times more than brain tissue at the same size due to its rich vascular structure [26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis is very important for planning the surgery, but also for the post-operative treatment. Conventional radiologic methods may result in discrepancies in differential diagnosis and only the pathological exam can clarify the diagnosis [19]. The differential diagnosis of head and neck depends on the location of the lesion.…”

Section: Differential Diagnosismentioning

confidence: 99%

Surgical Resection of Painless Carotid Body Tumour without Preoperative Embolization: A Case Report and Review of Literature

Cimpean¹,

Belhaj²,

Rondelet³

2017

J Clin Case Rep

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Paragangliomas are rare tumors representing a therapeutic challenge. We present a case report of surgical resection of carotid body tumor without preoperative embolization. Our therapeutic attitude is based on controversial benefits of the embolization for those tumors. The major indication for the preoperative embolization is to reduce intraoperative blood loss, but this benefit is not demonstrated. Also, because the relative rarity of this tumor, the confounding factors relative to the surgeon and radiologist experience, no randomized trial can be performed. So, our case report can be useful to participate to increase the number of reported cases, and define the therapeutic approach for this rare tumor.

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“…Advanced CBTs can be intimately adherent to the carotid vessels (classified by Shamblin et al as type III) 2. Early diagnosis and excision is therefore crucial for successful management; larger tumours are associated with a higher rate of intraoperative complications including nerve injury and bleeding, a higher chance of requiring vascular sacrifice and have poorer overall postoperative outcomes 3. Preoperative embolisation can facilitate surgical excision; however, it is reserved for larger tumours due to the increased risk of stroke 3.…”

Section: Descriptionmentioning

confidence: 99%