Bilateral carotid body tumor case: A novel preoperative management

AbstractParagangliomas are a rare form of highly vascularized tumors that originate from paraganglia Baysal (J Med Genet 39: 617–622, 2002). In the head and neck PGL arise primarily in four distinct areas: vagal, middle ear, and larynx and more frequently carotid bifurcation. Imaging evaluations include sonography, color Doppler, US-elastosonography and contrast-enhanced ultrasound (CEUS). Additionally, Computed Tomography, Magnetic Resonance Imaging (MRI) as well as digital subtraction angiography can be performed Stoeckli et al. (Laryngoscope 112: 143–146, 2002). We present herein a case of a rare bilateral carotid body tumor assessed with multiparametric ultrasound evaluation, including CEUS and US-elastography.

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Impact Bilateral Carotid Body Tumor Resection in the Carotid Baroreceptor Function

Journal of Vascular Surgery ◽

10.1016/j.jvs.2021.11.019 ◽

2022 ◽

Vol 75 (1) ◽

pp. e24-e25

Author(s):

Santiago Mier y Teran-Ellis ◽

Humberto A. Estrada-Rodriguez ◽

Javier E. Anaya-Ayala ◽

Gabriel Lopez-Pena ◽

Emmanuel A. Contreras-Jimenez ◽

...

Keyword(s):

Carotid Body ◽

Tumor Resection ◽

Carotid Body Tumor ◽

Baroreceptor Function ◽

Carotid Baroreceptor ◽

Bilateral Carotid

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Bilateral Carotid Body Tumor Treated with Primary Radiotherapy and Resected Subsequently: Report of a Case and Review of the Literature

Surgical Case Reports ◽

10.31487/j.scr.2020.05.15 ◽

2020 ◽

pp. 1-3

Author(s):

Luis Pacheco-Ojeda ◽

Elba Salazar ◽

Luis Pacheco-Ojeda ◽

Montalvo-Burbano Mario ◽

Xavier Jarrín-Estupiñán

Keyword(s):

Surgical Resection ◽

Carotid Body ◽

Carotid Bifurcation ◽

Carotid Body Tumor ◽

Definitive Treatment ◽

Review Of The Literature ◽

Bilateral Carotid ◽

Angio Ct ◽

Neural Crest Origin ◽

One Year

Carotid body tumors (CBT) are rare benign neoplasms of neural crest origin arising from paraganglia cells located at carotid bifurcation. They are usually treated with surgery and occasionally with radiotherapy (RT) as a definitive treatment. We report a case of a carotid body tumor (CBT) in a 45-year old woman who was treated with RT at another institution with intent of diminishing its size and eventually be operated later. This tumor, located on the left side of the neck, appeared 3 years before and was associated with dysphagia and odynophagia. A computed tomography (CT) revealed a lesion of 4.7 cm in size. The patient received 54 Gy of RT. As the tumor persisted clinically, an angio-CT performed one year later showed a left CBT of the same size and a contralateral lesion of 2cm. The surgical resection of this smaller right lesion was performed first and, of the persistent left lesion, one month later. No technical difficulties were found on the resection of the latter tumor and rather decreased peripheral vascularization was present. The histological findings revealed changes due to RT. In an exhaustive review of the literature, there were no findings of any report of surgical resection of a CBT after the primary RT.

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