Diagnostic and therapeutic approaches to carotid body tumors. Review of 24 patients.
Arch Surg
; 132(3): 279-84, 1997 Mar.
Article
en En
| MEDLINE
| ID: mdl-9125028
ABSTRACT
OBJECTIVE:
To determine the clinical characteristics of carotid body tumors to define better a standardized proceeding in the management of carotid body tumors.DESIGN:
Retrospective survey. Duration of postoperative follow-up was 4 months to 16 years (median, 57 months).SETTING:
Institutional, tertiary care medical center. PATIENTS Consecutive sample of 24 patients (10 men and 14 women) with 28 carotid body tumors treated in the University of Vienna (Austria) General Hospital in 35 years.INTERVENTIONS:
Surgical resection, preoperative embolization. MAIN OUTCOMEMEASURES:
Initial signs, duration of symptoms, extension of the tumors, methods of investigations, and treatment modality, with special respect to the operative technique.RESULTS:
Doppler color flow imaging and angiography provided essential mainstays for definite diagnosis. Computed tomography and magnetic resonance imaging contributed additional information about tumor extension. Nineteen patients (79%) underwent surgical resection of 22 tumors, 8 (42%) after preoperative embolization. There were no perioperative deaths. Hemiplegia occurred in 1 patient, and cranial nerve palsy occurred in 5 patients. Tumor recurrence was observed in 3 patients. Five patients refused surgery or tumors were unresectable.CONCLUSIONS:
Our standard diagnostic procedure consists of establishing diagnosis by Doppler color flow sonography, angiography for detailing the vascularization of the tumor, and selective embolization to enable safer surgery with less bleeding. Early surgery is recommended to minimize major risks.
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Bases de datos:
MEDLINE
Asunto principal:
Tumor del Cuerpo Carotídeo
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Surg
Año:
1997
Tipo del documento:
Article
País de afiliación:
Austria