Effective, same‐day preoperative embolization and surgical resection of carotid body tumors

Carotid body tumors are rare neoplasms with malignant potential in 6% to 12.5% of cases, and surgical resection is the only cure. We present the cases of 2 female patients who had expanding, painless, right-sided neck masses; computed tomographic angiograms revealed Shamblin III tumors at the carotid bifurcation. Each patient underwent tumor resection with use of the retrocarotid dissection technique. The tumor specimens were histologically consistent with malignancy, and free margins were achieved. The patients remained free of symptoms, local recurrence, and metastasis 44 and 19 months after their respective procedures. These are the first malignant Shamblin III carotid body tumors that we have resected by means of retrocarotid dissection. In addition to our patients' cases, we discuss carotid body tumors and compare the retrocarotid and standard caudocranial resection techniques.

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Outcome of Surgical Treatment for Carotid Body Tumors in Different Shambling Type Without Preoperative Embolization: A Single-Center Retrospective Study

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.08.088 ◽

2020 ◽

Vol 63 ◽

pp. 325-331 ◽

Cited By ~ 4

Author(s):

Tonglei Han ◽

Shiying Wang ◽

Xiaolong Wei ◽

Yongfu Xie ◽

Yudong Sun ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Carotid Body ◽

Preoperative Embolization ◽

Single Center ◽

Carotid Body Tumors

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Temporary balloon occlusion and ethanol injection for preoperative embolization of carotid-body tumor

Ear Nose & Throat Journal ◽

10.1177/014556130208100814 ◽

2002 ◽

Vol 81 (8) ◽

pp. 536-547 ◽

Cited By ~ 18

Author(s):

Michael Horowitz ◽

Richard E. Whisnant ◽

Charles Jungreis ◽

Carl Snyderman ◽

Elad I. Levy ◽

...

Keyword(s):

Carotid Body ◽

Balloon Occlusion ◽

Carotid Body Tumor ◽

Preoperative Embolization ◽

Ethanol Injection ◽

Tumor Embolization ◽

Histologic Evaluation ◽

Carotid Body Tumors ◽

Ethanol Embolization ◽

Temporary Balloon Occlusion

We report on the preoperative embolization of a carotid-body paraganglioma by temporary balloon occlusion and ethanol injection. Complete devascularization was achieved without complication. Resection after a short postembolization interval required artery sacrifice. Histologic evaluation revealed that the tumor contained diffuse ethanol-induced microemboli. Compared with unembolized and polyvinyl-alcohol-embolized carotid-body paragangliomas, our technique resulted in no greater adverse effects on the tumor-vessel interface. This procedure is an effective and promising method of preoperative embolization of carotid-body tumors and warrants further experience and study. In this article, we also review the literature on carotid-body tumor embolization and ethanol embolization.

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Carotid body tumors managed with preoperative embolization

Journal of Neurosurgery ◽

10.3171/jns.1983.59.5.0867 ◽

1983 ◽

Vol 59 (5) ◽

pp. 867-870 ◽

Cited By ~ 33

Author(s):

Lawrence F. Borges ◽

Roberto C. Heros ◽

Gerard DeBrun

Keyword(s):

Carotid Body ◽

Preoperative Embolization ◽

Tumor Vascularity ◽

Content Type ◽

Carotid Body Tumors ◽

Surgical Extirpation ◽

Fine Print

✓ Two patients with large vascular carotid body tumors underwent preoperative intravascular embolization of the major arterial feeders. The tumor vascularity was reduced markedly, and complete surgical extirpation was accomplished without difficulty. The literature on carotid body tumors is briefly reviewed. The role of preoperative embolization in the treatment of these difficult tumors is emphasized.

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