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Malignant Carotid Paraganglioma: A Case Report.
Archang, Maani M; Lee, Seung; Ziu, Ismail; Clifton, William; Miller, David A; Jentoft, Mark E; Janus, Jeffrey R.
Afiliación
  • Archang MM; Otolaryngology - Head and Neck Surgery, University of California, Los Angeles, Los Angeles, USA.
  • Lee S; Neurological Surgery, Mayo Clinic, Jacksonville, USA.
  • Ziu I; Neurosurgery, Ascension Medical Group St Vincent's Spine & Brain, Jacksonville, USA.
  • Clifton W; Center for Spine Health, Cleveland Clinic, Cleveland, USA.
  • Miller DA; Radiology, Mayo Clinic, Jacksonville, USA.
  • Jentoft ME; Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, USA.
  • Janus JR; Otolaryngology - Head and Neck Surgery, Mayo Clinic, Jacksonville, USA.
Cureus ; 15(7): e41765, 2023 Jul.
Article en En | MEDLINE | ID: mdl-37575766
Carotid body tumors (CBTs) are rare neoplasms of the neuroectoderm accounting for 0.6% of head and neck tumors, with a 2%-12.5% risk of malignancy. While surgical resection has been associated with a high rate of neurologic and vascular complications, it remains the mainstay of treatment for malignant CBTs. We present the case of a 40-year-old female with a 5-year history of progressively enlarging right-sided neck mass, with MRI and MRA showing a Shamblin grade III CBT encasement of the internal carotid artery (ICA). Blood flow was absent in the petrous segment of ICA, with great collateralization of brain blood supply, enabling en bloc resection of the tumor with a carotid bulb and ligation of the common carotid artery (CCA) without vascular reconstruction. Further, we describe the characteristics and current management for malignant CBTs, including surgical management, pre-surgical embolization, and adjuvant radiation therapy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos