ORIGINAL ARTICLE
Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 8-11

Management for Carotid Body Tumors: A Single Center Experience


1 Department of Vascular and Endovascular Surgery, Yashoda Super Speciality Hospital, Somajiguda, Hyderabad, Andhra Pradesh, India
2 Department of Vascular Surgery, Yashoda Super Speciality Hospital, Somajiguda, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Devender Singh
Department of Vascular and Endovascular Surgery, Yashoda Super Speciality Hospital, Somajiguda, Hyderabad, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.142356

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Introduction: The carotid body tumor is a rare neoplasm that has generated much literature over the last century, and for which continued controversy exists regarding natural history, biologic behavior, proper technique of excision, and the risk of morbidity and mortality. Methods: The present study reviewed a 7-year experience of managing carotid body paraganglioma between 2007 and 2013. There were 10 consecutive patients aged between 18 and 50 years, and median follow-up was 5-year. Preoperative information was derived from spiral computed tomography (CT) scanning, magnetic resonance imaging, color Doppler imaging (CDI), and four-vessel digital subtraction arteriography. Results: In five patients, the tumor excision was attempted before they were referred to our tertiary care hospital. Two patients had bilateral tumors. Four patients had preoperative embolization, and blood loss was minimal, and excision was relatively easier in them. There was difficulty in deglutition (nasal and laryngeal regurgitation) in three patients with large tumors. Conclusion: Surgical planning and prediction of peri-operative complications can be obtained by digital subtraction angiography, spiral CT angiography, and CDI. The peri-operative blood loss can be reduced by preoperative embolisation.


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