scholarly journals Carotid Body Tumor Presented with Lenfadenomegaly; A Rare Case

2021 ◽  
Author(s):  
Arif Yuksel ◽  
Serhan Uslu ◽  
Bulent Vatansever ◽  
Züleyha Can Erdi ◽  
İsmail Demir
Keyword(s):  
Carotid Body ◽  
Neck Mass ◽  
Lateral Neck ◽  
Neck Swelling ◽  
Lateral Aspect ◽  
Neurogenic Tumors ◽  
Tender Mass ◽  
Carotid Body Tumors ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

Carotid body tumors (CBTs) or chemodectomas are non-chromaffin paragangliomas. Carotid body tumors appear as painless, slowly expanding masses located in the upper part of the neck under the chin. On physical examination, it presents as a soft, non-tender mass in the lateral aspect of the neck that can move more freely in a horizontal plane than vertically, referred to as a positive Fontaine sign. The differential diagnosis of a lateral neck mass, rarely seen in adults, includes lymphadenopathy, branchial cleft cysts, salivary gland tumors, neurogenic tumors, and carotid artery aneurysms. A 62-year-old female patient presented with only neck swelling. CBTs are rarely detected in the etiology in cases of lymphadenomegaly. We wanted to present the case to the literature.

scholarly journals Branchial Cyst: An Unusual Presentation as Intrathoracic Extension and Hoarseness of Voice

2011 ◽  
Vol 2 (1) ◽  
pp. 69-71
Author(s):  
HP Singh ◽  
Sunil Kumar ◽  
Ambrish Kumar ◽  
SP Agarwal
Keyword(s):  
Unusual Case ◽  
Early Adulthood ◽  
Neck Mass ◽  
Definitive Treatment ◽  
Lateral Neck ◽  
Lateral Aspect ◽  
Anterior Border ◽  
Soft Tissue Swelling ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

ABSTRACT Branchial cleft cysts usually present as a unilateral, fluctuant soft tissue swelling that is localized deep to the anterior border of sternocleidomastoid in the lateral aspect of the neck. They are often noticed late in childhood or early adulthood. It is important that clinical diagnosis and, in some cases, appropriate imaging is performed, so that definitive treatment may be carried out. The authors present an unusual case of a 35-year-old man who presented with hoarseness of voice associated with a lateral neck mass that extended retrosternally.

Contrast Enhanced Vascular Imaging Used in the Diagnosis of a Carotid Body Tumor: A Case Report

2019 ◽  
Vol 35 (6) ◽  
pp. 514-518
Author(s):  
Vidya Mani Medepalli ◽  
Paul Braum ◽  
Lalitha C. Medepalli
Keyword(s):  
Carotid Body ◽  
Carotid Bifurcation ◽  
Neck Mass ◽  
Carotid Body Tumor ◽  
Lateral Neck ◽  
Vascular Flow ◽  
Contrast Enhanced ◽  
Carotid Body Tumors ◽  
Cranial Vessels ◽  
Slow Growing

Carotid body tumors (CBT) are a rare form of paragangliomas of the head and neck. They are described as rare, slow-growing, mostly benign, clinically silent tumors of neural crest cells. This tumor should be considered as a differential diagnosis when evaluating a lateral neck mass. A report of a rare case, a carotid body tumor, is presented that was incidentally noted as a lateral neck mass during a screening sonogram. A mass located at the level of the left carotid bifurcation demonstrated significant vascular flow with the use of contrast enhanced ultrasound (CEUS) techniques. Computed tomography angiography (CTA) was also performed to further analyze the tumor’s anatomical relation to the extra cranial vessels.

scholarly journals Diagnostic Dilemma in a Carotid Body Tumor: A Case Report

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Md Ashraful Islam
Keyword(s):  
Carotid Body ◽  
Histopathological Examination ◽  
Neck Region ◽  
Carotid Body Tumor ◽  
Lateral Neck ◽  
Neck Swelling ◽  
Diagnostic Dilemma ◽  
Carotid Body Tumors ◽  
Carotid Bulb ◽  
Lateral Neck Swelling

An asymptomatic swelling in the neck region has many differential diagnoses. Most common of them is reactive lymphadenitis and carotid body tumor being the last thing. We present here a case of carotid body tumor that misguided us on clinical and radiological ground. It was suspected intra-operatively and confirmed by histopathological examination. Carotid body tumors are rare neoplasm. It arises from the chemoreceptor cells of the carotid bulb. We report a case of carotid body tumor in a 57-year-old female, who presented with painless, gradually progressive lateral neck swelling. The diagnosis is suspected on the basis of clinical radiological and per-operative examination findings. Histopathological examination confirms the diagnosis of carotid body tumor

Presentation with Personality changes and Tinnitus to a Vascular Intervention: Rare case of Carotid Body Paraganglioma

2018 ◽  
pp. e000109
Author(s):  
Ahsan Zil-E-Ali ◽  
Zubair Ahmed ◽  
Amber Ehsan Faquih ◽  
Muhammad Ishaq ◽  
Muhammad Aadil
Keyword(s):  
Case Report ◽  
Carotid Body ◽  
Neuroendocrine Neoplasms ◽  
Vascular Surgeon ◽  
Vascular Intervention ◽  
Presenting Symptoms ◽  
Personality Changes ◽  
Tender Mass ◽  
Carotid Body Tumors ◽  
General Physical

Background: Carotid body paragangliomas are rare neuroendocrine neoplasms of chromaffin negative glomus cells. This case report explains an atypical case with unusual presentation and treatment. Case Report: A healthy smoker technician by profession was brought to the emergency room (ER) with coprolalia. The general physical exam did not reveal any information. His history revealed unilateral tinnitus and odynophagia leading to a consultation by the neurologist with head imaging. Acoustic neuroma was ruled out and the caregiver was asked to elaborate the events mentioned in the history and a psychiatric examination was done. The personality changes were evaluated by the psychiatrist that showed overlapping of delirium and depression. The patient was further examined by a vascular surgeon. After careful revisiting of the history, examination and indication of tender mass in the neck by the patient's vascular surgeon, the diagnosis of carotid body paraganglioma was made which was followed by surgical resection for treatment. Conclusion: Carotid Body Paragangliomas are very vascular structures and their manipulation in a surgery setting requires expertise. This case presented with personality changes and tinnitus, a very less likely event to occur in a carotid body tumor. The present care report, thus adds on to the literature of carotid body tumors and its presenting symptoms.

scholarly journals Unusually rapid development of a lateral neck mass: Diagnosis and treatment of a branchial cleft cyst. A case report

2017 ◽  
Vol 41 ◽  
pp. 383-386 ◽  
Author(s):  
Gabriele Bocchialini ◽  
Anna Bozzola ◽  
Francesco Daleffe ◽  
Luca Ferrari ◽  
Andrea Castellani
Keyword(s):  
Case Report ◽  
Rapid Development ◽  
Neck Mass ◽  
Diagnosis And Treatment ◽  
Lateral Neck ◽  
Branchial Cleft Cyst ◽  
Branchial Cleft

scholarly journals Gyulladás vagy daganat?

2021 ◽  
Vol 162 (15) ◽  
pp. 595-600
Author(s):  
Tamás Major ◽  
Krisztina Szarka ◽  
Zsófia Nagy ◽  
Ilona Kovács ◽  
Csaba Balog ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Differential Diagnosis ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Age At Onset ◽  
Sudden Onset ◽  
Lateral Neck ◽  
Neck Masses ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

Összefoglaló. A lateralis cysticus nyaki terimék két leggyakoribb oka a branchiogen cysta és a cysticus nyaki áttét. Az átfedő lokalizáció (a leggyakrabban a IIA nyaki régióban), a betegek életkora és az esetenként hirtelen kezdet alapján a két leggyakoribb ok differenciáldiagnózisa nagy kihívást jelenthet. Egy hirtelen fellépő fájdalmas, bal oldali nyaki duzzanattal, dysphagiával és lázzal jelentkező 72 éves férfi esetét ismertetjük. A nyak komputertomográfiás vizsgálata egy 6 cm legnagyobb átmérőjű, vastag falú, többrekeszes cysticus terimét igazolt. Infektív branchiogen cysta lehetőségére gondolva az elváltozást eltávolítottuk. A szövettan azonban p16-pozitív laphámrákot igazolt. A primer tumort végül az ipsilateralis tonsilla palatina állományában sikerült azonosítani. A beteg definitív radioterápiában részesült, és 18 hónappal a diagnózis után tumormentes. A nyaki cystákon, az infektív nyaki cystákon és a cysticus metastasisokon kívül a humán papillómavírussal összefüggő szájgarati laphámrákok infektív cysticus vagy necroticus metastasisait is figyelembe kell venni a lateralis cysticus nyaki terimék differenciáldiagnózisában. Orv Hetil. 2020; 162(15): 595–600. Summary. Branchial cleft cysts and cystic neck metastases are the two most common causes of cystic lateral neck masses. Based on the overlapping location (neck level IIA), patient age at onset and the occasionally sudden onset, their differential diagnosis is challenging. We present a 72-year-old male presenting with a suddenly emerging painful, left-sided neck swelling, dysphagia and fever. Computed tomography showed a 6 cm thick-walled multicystic mass. With the suspected diagnosis of an infected branchial cleft cyst, the lesion was removed. Histology confirmed p16 positive squamous cell carcinoma. Primary tumor was identified in the ipsilateral palatine tonsil. Definive radiotherapy was performed and the patient is free of disease at the 18-month follow-up. Beyond pure and infected branchial cleft cysts and pure cystic metastases, infected cystic or necrotic metastasis of human papillomavirus associated oropharyngeal squamous cell carcinoma should be included in the differential diagnosis of cystic lateral neck lesions. Orv Hetil. 2021; 162(15): 595–600.

Neck lump

2015 ◽  
Author(s):  
Hugo Farne ◽  
Edward Norris-Cervetto ◽  
James Warbrick-Smith
Keyword(s):  
Carotid Body ◽  
Artery Aneurysm ◽  
Progressive Increase ◽  
Branchial Arch ◽  
Neck Mass ◽  
Metastatic Carcinoma ◽  
Lateral Neck ◽  
Lymphatic Malformations ◽  
Carotid Artery Aneurysm ◽  
Neck Lump

Considering the anatomy and associated pathology, the lump may represent: • Artery: carotid artery aneurysm, subclavian artery aneurysm, carotid body tumour (i.e. chemodectoma or paraganglioma of the carotid body) • Nerves: neurofibroma, schwannoma • Lymphatics: lymphatic malformations • Lymph nodes: infective, neoplastic (primary or metastatic), granulomatous • Salivary glands: infective, autoimmune, neoplastic • Larynx: laryngocele • Pharynx: pharyngeal pouch • Branchial arch remnant: branchial cyst/sinus/fistula • Skin/superficial subcutaneous: lipoma, epidermal cyst, abscess, dermoid cyst • Muscle/cartilage/bone: sarcomas (e.g. rhabdomyosarcoma, fibrosarcoma, osteosarcoma), cervical rib, torticollis The age of the patient has an enormous bearing upon the pathology you should expect to encounter: • In children, about 75% of neck lumps are benign. Congenital and inflammatory lumps are most common. Thus the differential diagnosis will be weighted in favour of branchial cleft cysts, lymphatic malformations, and lymphadenitis. If malignancy is diagnosed in paediatric neck lumps, it is usually a lymphoma or sarcoma, or sometimes a papillary thyroid carcinoma. • In adults over 40, as many as 75% of lateral neck lumps are malignant. Of the malignant neck lumps, about 80% are metastases and the rest are mostly lymphomas. In fact, ▲ in the absence of signs of infection, a lateral neck mass in an adult is lymphadenopathy due to metastatic carcinoma (usually squamous cell) until proven otherwise. • How long has the lump been there? ■ Less than a few weeks: most likely infective or inflammatory lymphadenopathy, although some patients will present with malignant neck lumps that have only been noticed within the last few days. ■ More than a few weeks: must exclude malignancy. ■ Years, with little change: most likely benign. ■ Note that congenital neck lumps, despite being ‘congenital’, may only ‘appear’ later in life as they may fluctuate in size (e.g. following an infection). • Has the lump got bigger, smaller, or stayed the same size? A lump that is gradually increasing in size must be regarded as a malignancy until proven otherwise. Remember that a progressive increase in size of a malignant neck lump may be reported as a sudden appearance by the patient.

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 A multidisciplinary approach to carotid body tumors surgical management

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
David Fan ◽  
Stephanie Luster ◽  
Ibrahim G Eid ◽  
Abdul Saied Calvino
Keyword(s):  
Surgical Management ◽  
Carotid Body ◽  
Multidisciplinary Team ◽  
Neck Mass ◽  
Surgical Reconstruction ◽  
Cancer Center ◽  
Surgical Removal ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Carotid Body Tumors

Abstract Carotid body tumors (CBTs) are rare and usually require complex surgical resection. We present a case of a large 7-cm CBT successfully treated in a community cancer center using a multidisciplinary team approach. A 32-year-old male referred for surgical evaluation of an asymptomatic right neck mass. CT angiography showed a 7-cm tumor encasing the carotid vessels, including the bifurcation (Shamblin III). Preoperative angiography and embolization were performed by interventional radiology. The patient underwent surgical removal of the CBTs and required surgical reconstruction with a common carotid to internal carotid bypass using a polytetrafluoroethylene interposition graft. The hypoglossal nerve, vagus nerve and glossopharyngeal nerve were identified, meticulously dissected and preserved. The patient did well after surgery and recovered with no complications. This report examines the diagnosis, preoperative workup and surgical management of CBTs using a multidisciplinary team approach.

Chemodectoma Occurring as a Parotid Mass

1981 ◽  
Vol 89 (5) ◽  
pp. 763-766
Author(s):  
Robert H. Ossoff ◽  
James A. Jones ◽  
David E. Bytell
Keyword(s):  
Differential Diagnosis ◽  
Carotid Body ◽  
High Frequency ◽  
Preoperative Diagnosis ◽  
Essential Role ◽  
Neck Mass ◽  
Carotid Body Tumors

A 55-year-old woman had a right-sided neck mass overlying the angle of the mandible, which proved to be a chemodectoma. The occurrence, differential diagnosis, and relatively high frequency of incorrect preoperative diagnosis of carotid body tumors is reviewed. The essential role of angiography to substantiate the diagnosis is discussed.

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