The characteristics of carotid body tumors in high-altitude region: Analysis from a single center

Vascular ◽  
2021 ◽  
pp. 170853812110052
Author(s):  
Yong-Hong Wang ◽  
Ji-Hai Zhu ◽  
Jia Yang ◽  
Wei Ma ◽  
Hao Zhong ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Clinical Features ◽  
Blood Supply ◽  
Carotid Body ◽  
Neck Mass ◽  
External Carotid Artery ◽  
Carotid Body Tumor ◽  
External Carotid ◽  
Carotid Body Tumors ◽  
The Mean

Objectives Though carotid body tumors are rare, increasing attentions have been given because of malignant transformation and high surgical risk. However, at present, the characteristics and etiology still remain unclear. Our study was designed to describe the clinical features of carotid body tumors in our institution and to compare the results with previous reports. Methods We retrospectively reviewed carotid body tumor patients diagnosed in our institution from January 2015 to May 2020. The demographics, comorbidities, lesion location, anatomic characteristics, complications, and postoperative outcomes were evaluated. Carotid body tumor measurements were determined from computed tomography, magnetic resonance imaging, and carotid arteriography examination. We described and compared the clinical features of carotid body tumors in our institution and other reports. Results We totally identified 122 carotid body tumor cases for the present analysis. The mean age was 50.26 years, with the majority being female (82%). The commonest presentation was a painless neck mass (68%). For the distribution of nationality, most patients were the Han nationality (69.7%). The mean altitude of habitat of patients was 2689.4 km; 19.7% patients suffered bilateral lesions. The main blood supply of carotid body tumors was from external carotid artery (54.1%). For patients who received operation, 11 (11.2%) patients experienced cranial nerve injury. The maximal diameter of tumors was 3.99 ± 1.98 cm in male and 3.38 ± 1.36 cm in female. The volume of tumors was 31.49 ± 29.76 cm3 in male and 15.27 ± 13.06 cm3 in female. The distance to base of skull of tumors was 3.39 ± 1.07 cm (3.99 ± 1.98 cm in male vs 3.38 ± 1.36 cm, P <  0.05). Two patients (2.04%) were identified as having malignant carotid body tumor. Conclusions Though carotid body tumor had a low morbidity and multitudinous clinicopathologic features, it was apt to middle-aged women and the main blood supply was from external carotid artery. The painless neck mass was the commonest presentation of carotid body tumors. There were significant difference between male and female patients regarding platelet, hemoglobin, distance to base of skull, tumor volume, altitude of habitat, carotid body tumor location, and hypertension.

Sonography of a Carotid Body Tumor: A Case Report

2020 ◽  
Vol 36 (5) ◽  
pp. 501-505
Author(s):  
Elizabeth Nevle
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Color Doppler ◽  
Vascular Tumor ◽  
External Carotid Artery ◽  
Carotid Body Tumor ◽  
External Carotid ◽  
Good Opportunity ◽  
The Brain ◽  
Benign Mass

A carotid body tumor is typically a benign mass and can have a low malignant potential. It can grow in between, attach to, or surround the internal carotid artery and external carotid artery in the neck. If this mass grows too big, it can compress the two arteries, causing problems in getting blood flow to the brain. The purpose for this sonography examination was to evaluate a patient with the following symptoms: dizziness, facial nerve injury, and sensorineural hearing loss. The carotid body tumor is a highly vascular tumor. This sonography examination provides a good opportunity to teach the importance of the use of color Doppler and proper documentation of this pathology that is often incorrectly documented with improper settings. This case reviews a 69-year-old Caucasian male with a carotid body tumor. The sonographic features, prevalence, common symptoms, prognosis, and treatments of the carotid body tumor are reviewed.

scholarly journals Successful devascularization of carotid body tumors by covered stent placement in the external carotid artery

2008 ◽  
Vol 48 (5) ◽  
pp. 1322-1324 ◽  
Author(s):  
James M. Scanlon ◽  
Jacob J. Lustgarten ◽  
Stewart B. Karr ◽  
Jules I. Cahan
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Stent Placement ◽  
Covered Stent ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Body Tumors

scholarly journals Multimodal management of pediatric carotid body tumors: a systematic review and case illustrations

2019 ◽  
Vol 23 (3) ◽  
pp. 325-332
Author(s):  
Manish Kuchakulla ◽  
Ashish H. Shah ◽  
Valerie Armstrong ◽  
Sarah Jernigan ◽  
Sanjiv Bhatia ◽  
...  
Keyword(s):  
Systematic Review ◽  
Carotid Artery ◽  
Cranial Nerve ◽  
External Carotid Artery ◽  
External Carotid ◽  
Preoperative Embolization ◽  
Surgical Morbidity ◽  
Balloon Test Occlusion ◽  
Cranial Nerve Palsies ◽  
Carotid Body Tumors

OBJECTIVECarotid body tumors (CBTs), extraadrenal paragangliomas, are extremely rare neoplasms in children that often require multimodal surgical treatment, including preoperative anesthesia workup, embolization, and resection. With only a few cases reported in the pediatric literature, treatment paradigms and surgical morbidity are loosely defined, especially when carotid artery infiltration is noted. Here, the authors report two cases of pediatric CBT and provide the results of a systematic review of the literature.METHODSThe study was divided into two sections. First, the authors conducted a retrospective review of our series of pediatric CBT patients and screened for patients with evidence of a CBT over the last 10 years (2007–2017) at a single tertiary referral pediatric hospital. Second, they conducted a systematic review, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, of all reported cases of pediatric CBTs to determine the characteristics (tumor size, vascularity, symptomatology), treatment paradigms, and complications.RESULTSIn the systematic review (n = 21 patients [includes 19 cases found in the literature and 2 from the authors’ series]), the mean age at diagnosis was 11.8 years. The most common presenting symptoms were palpable neck mass (62%), cranial nerve palsies (33%), cough or dysphagia (14%), and neck pain (19%). Metastasis occurred only in 5% of patients, and 19% of cases were recurrent lesions. Only 10% of patients presented with elevated catecholamines and associated sympathetic involvement. Preoperative embolization was utilized in 24% of patients (external carotid artery in 4 and external carotid artery and vertebral artery in 1). Cranial nerve palsies (cranial nerve VII [n = 1], IX [n = 1], X [n = 4], XI [n = 1], and XII [n = 3]) were the most common cause of surgical morbidity (33% of cases). The patients in the authors’ illustrative cases underwent preoperative embolization and balloon test occlusion followed by resection, and both patients suffered from transient Horner’s syndrome after embolization.CONCLUSIONSSurgical management of CBTs requires an extensive preoperative workup, anesthesia, and multimodal surgical management. Due to a potentially high rate of surgical morbidity and vascularity, balloon test occlusion with embolization may be necessary in select patients prior to resection. Careful thorough preoperative counseling is vital to preparing families for the intensive management of these children.

scholarly journals Assessment of Carotid Body Tumor by Superb Micro-Vascular Imaging in a Preoperative Evaluation

2020 ◽  
Author(s):  
Luying Gao ◽  
Xiaoyan Zhang ◽  
Yuxin Jiang ◽  
Hongyan Wang ◽  
Wanying Li ◽  
...  
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Carotid Body ◽  
Flow Patterns ◽  
Carotid Body Tumor ◽  
Vascular Imaging ◽  
External Carotid ◽  
Accurate Information ◽  
Feeding Artery ◽  
Blood Flow Patterns

Abstract Background: Superb micro-vascular imaging (SMI) provided new advances in vascular imaging, resulting in revealing the overall vascularity detection of small or microflow states without the use of contrast media. This study aimed to explore the blood supply andfeeding artery of carotid body tumor (CBT) on SMI for providing more accurate information for surgery.Results: Twenty-six CBT lesions underwent color Doppler flow imaging (CDFI) and SMI, and were confirmed later by pathology. The blood flow patterns and feeding artery of CBTson CDFI and SMI were graded and compared.Compared with the application of CDFI, the pattern of more CBT lesionschanged to a higher Adler category by SMI (P<0.001). Thefeeding artery of two CBT lesions, which fail to show by CDFI, was internal carotid artery(ICA) by SMI and compared with CDFI the feeding artery of three changed from ICA or external carotid artery(ECA) to MIX (both ICA and ECA) by SMI. We classified the feeding artery of CBTs into originating from ICA or others (including ECA and MIX). For all the lesions, threelesions that stemmed from ICA and 23lesions that stemmed from ECAor MIX. CBT lesions stemming from ECA or MIX with Adler II or Adler III blood flow patterns accounted for 30.4% (7/23) or 69.6% (16/23), respectively, while CBT lesions stemming from ICA with Adler I or Adler II blood flow patterns accounted for 66.7% (2/3) or 33.3% (1/3), respectively. Conclusions: SMI is superior to CDFI in detecting vascularity of CBTs, and SMI could better investigate the origin of feeding vessels of CBTs in comparison to CDFI.Compared with those originating from ECA, CBTs from ICA has less vascularity.

Arteriovenous malformation in the posterior fossa supplied by the external carotid circulation

1974 ◽  
Vol 41 (4) ◽  
pp. 502-507 ◽  
Author(s):  
Carl J. Graf ◽  
Arnold H. Menezes
Keyword(s):  
Carotid Artery ◽  
Arteriovenous Malformation ◽  
Posterior Fossa ◽  
Blood Supply ◽  
External Carotid Artery ◽  
External Carotid ◽  
Content Type ◽  
Carotid Circulation ◽  
Fine Print

✓ The authors report a case in which the blood supply of a posterior fossa arteriovenous malformation was derived entirely from the external carotid artery.

scholarly journals A glomus caroticum paragangliomája és ellátása

2018 ◽  
Vol 159 (36) ◽  
pp. 1487-1492
Author(s):  
Krisztián Gál ◽  
Ifeoluwa Apanisile ◽  
István Lázár ◽  
Tünde Blaskó ◽  
Tamás Karosi
Keyword(s):  
Physical Examination ◽  
Carotid Body ◽  
Gold Standard ◽  
Neck Mass ◽  
Carotid Body Tumor ◽  
Surgical Removal ◽  
Digital Substraction Angiography ◽  
Glomus Caroticum ◽  
Pulsatile Mass ◽  
Carotid Body Tumors

Abstract: Our goal was to report a 44-year-old woman with carotid body tumor, and to give a brief and comprehensive presentation about the disease and summarize its complex management. Carotid body tumor is a rare, mostly sporadic, benign head and neck mass originating from the glomus caroticum. It occurs mostly in middle-aged women as a slowly growing, semifix, painless neck mass. The diagnosis is based upon the physical examination (pulsatile mass, Fontaine-sign) and – as the gold standard – CT-angiography. It should be established that preoperative embolisation by digital substraction angiography plays a crucial role in the treatment of carotid body tumors that should be followed by surgical removal. In case of inoperable/irresecable and residual tumors, radiotherapy is the treatment option. The patient was treated in our department in April 2017. Orv Hetil. 2018; 159(36): 1487–1492.

scholarly journals The Innervation and Vascular Supply of the Antrum

1934 ◽  
Vol 27 (6) ◽  
pp. 745-751 ◽  
Author(s):  
Cecil Strong
Keyword(s):  
Carotid Artery ◽  
Prussian Blue ◽  
Blood Supply ◽  
Vascular Supply ◽  
External Carotid Artery ◽  
External Carotid ◽  
Antral Mucosa ◽  
Thermal Tests ◽  
Made In

An attempt has been made to obtain information about the condition of the pulp of teeth, immediately below the bony incision, made in the lateral antral wall in radical antrotomy, and to investigate the conditions obtaining in the vascular supply of that neighbourhood. The investigation has two parts: (1) Experimental; (2) Clinical. Experimental.—( a) Injections of specimens of the superior maxillæ were made with lipiodol, then X-rayed. These showed vascular anastomoses along the antral floor. ( b) Sections of the lateral antral wall and floor were cut and stained to show nerves and blood spaces. ( c) The external carotid artery was injected with Prussian Blue and the maxilla then removed. ( d) Transverse sections of the teeth denervated were cut and their pulps examined. Clinical.—The patients who had been submitted to operation were taken, and their teeth examined by:— ( a) Transillumination. ( b) Percussion. ( c) Thermal tests. ( d) Faradic currents. ( e) Radiography. From these investigations it appears that the teeth are denervated but not devitalized by the trauma to the lateral antral wall above their apices. Their blood-supply is still present, and probably comes through a collateral anastomosis, along the antral floor and partly through the antral mucosa.

Intraparenchymal arteriovenous malformations with predominant external carotid artery contribution

1974 ◽  
Vol 41 (6) ◽  
pp. 681-687 ◽  
Author(s):  
Raymond E. Dahl ◽  
David G. Kline
Keyword(s):  
Carotid Artery ◽  
Blood Supply ◽  
Arteriovenous Malformations ◽  
External Carotid Artery ◽  
External Carotid ◽  
Content Type ◽  
Cerebral Parenchyma ◽  
Fine Print

✓ Arteriovenous malformations located within cerebral parenchyma are usually supplied by intracranial vessels. An extracranial blood supply to these lesions is rare. The authors report their experience with two such cases and discuss the 21 comparable reports.

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