Clinical Experience In Carotid Body Tumors: Imaging Techniques And Surgical Approaches

Year 2020, , 250 - 259, 17.06.2020

Melek Kezban Gürbüz Mehmet Özgür Pınarbaşlı Ercan Kaya

https://doi.org/10.5798/dicletip.748550

Abstract

Objective: In this article, the imaging techniques and surgical treatment methods used in patients with carotid body tumors were discussed by evaluating the results of our patients with carotid body tumors that we treated surgically.
Method: The information about the patients presented in the article was obtained by retrospectively examining the hospital file records
Results: The mean age of 15 [14 females (93.3%); 1 male (6.7%)] patients was52.47 ± 13.278 (min: 25; max: 69).Only one (6.7% ) patient had bilateral tumor. The complaint of 12 (80%) patients was swelling in the neck of. In the remaining three (20%) patients, the tumor in the neck was detected incidentally.According to the Shamblin classification; five (33.3%) patients were classified as Type 1, nine (60%) patients were classified as Type 2, and one (6.7%) patient was classified Type 3. The mean tumor diameter obtained was 3.053 ± 0.9342 cm (min:1,5 cm – max:4.7 cm),and all histopathological diagnosis were benign paraganglioma. All patients were treated surgically, and no patient has any previous treatment history of carotid body tumor. No significant postoperative permanent morbidity was detected in any of the patients.
Conclusion: Carotid body tumors can be curative treated by surgical excision. However, because of its close relationship with the carotid artery, its surgery is special. Preoperatively meticulously evaluation of patients will increase the success of the surgery and reduce the postoperative complication rate.

Keywords

carotid body

References

• 1. Luna MA, Pineda-Daboin K. Cysts and Unknown Primary and Secondary Tumours of the Neck, and Neck Dissection. In: Cardesa A, SlootwegPJ,Gale N, Franchi A, editors. Pathology of the Head and Neck. Berlin: Springer Verlag Berlin and Heidelberg GmbH Co; 2016. p.273.
• 2. Başel H, Odabaşı D, Hazar A, Ekim H. Strategies at the treatment and diagnosis of carotid Body Tumors. TürkiyeKlinikleri J Cardiovasc Sci. 2009; 21:13-8.
• 3. Sanghvi VD, Chandawarkar RY. Carotid body tumors. J SurgOncol. 1993;54:190-2.
• 4. Sykes JM, Ossoff RH. Paragangliomas of the head and neck. OtolaryngolClin North Am. 1986; 19:755–67.
• 5. Shamblin WR, ReMine WH, Sheps SG, Harrison EG Jr. Carotid body tumor (chemodectoma). Clinicopathologic analysis of ninety cases. Am J Surg. 1971; 122:732-9.
• 6. Arya S, Rao V, Juvekar S, Dcruz AK. Carotid body tumors: objective criteria to predict the Shamblin group on MR imaging. AJNR Am J Neuroradiol. 2008; 29: 1349-54.
• 7. Somasundar P, Krouse R, Hostetter R, Vaughan R, Covey T. Paragangliomas:a decade of clinical experience. J SurgOncol. 2000; 74:286-90.
• 8. Sajid MS, Hamilton G, Baker DM; Joint Vascular Research Group. A multicenter review of carotid body tumour management. Eur J VascEndovasc Surg. 2007; 34:127-30.
• 9. Zhang TH, Jiang WL, Li YL, Li B, Yamakawa T. Perioperative approach in the surgical management of carotid body tumors. Ann Vasc Surg. 2012; 26:775-82.
• 10. Netterville JL, Reilly KM, Robertson D, et al. Carotid body tumors: A review of 30 patients with 46 tumors. Laryngoscope. 1995; 105: 115–26.
• 11. Kakkos SK, Reddy DJ, Shepard AD, et al. Contemporary presentation and evolution of management of neck paragangliomas. J Vasc Surg. 2009; 49: 1365–73.