Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes
Background The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas. Methods The surgical records of 121 cases of jugular paraganglioma (Fisch classifications C and D) were reviewed. Results The average follow‐up was 88 m...
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| Veröffentlicht in: | Head & neck 2013-04, Vol.35 (4), p.527-534 |
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| creator | Lope Ahmad, Raja Ahmad R. Sivalingam, Shailendra Konishi, Masaya De Donato, Giuseppe Sanna, Mario |
| description | Background
The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas.
Methods
The surgical records of 121 cases of jugular paraganglioma (Fisch classifications C and D) were reviewed.
Results
The average follow‐up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE.
Conclusion
The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement. © 2012 Wiley Periodicals, Inc. Head Neck, 2013 |
| doi_str_mv | 10.1002/hed.22987 |
| format | Article |
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The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas.
Methods
The surgical records of 121 cases of jugular paraganglioma (Fisch classifications C and D) were reviewed.
Results
The average follow‐up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE.
Conclusion
The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.22987</identifier><identifier>PMID: 22544660</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Cranial Nerves - pathology ; Cranial Nerves - surgery ; Female ; Follow-Up Studies ; Glomus Jugulare Tumor - pathology ; Glomus Jugulare Tumor - surgery ; Glomus Jugulare Tumor - therapy ; glomus jugulare tumors ; Humans ; jugular paraganglioma ; Jugular Veins - pathology ; Male ; Middle Aged ; Postoperative Complications - etiology ; Skull Base Neoplasms - pathology ; Skull Base Neoplasms - surgery ; surgical control ; surgical management ; Treatment Outcome ; Young Adult</subject><ispartof>Head & neck, 2013-04, Vol.35 (4), p.527-534</ispartof><rights>Copyright © 2012 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4577-a5376bd34842ca312bd7fc9091494519073f41a9b41239a58b92237408cd1ab3</citedby><cites>FETCH-LOGICAL-c4577-a5376bd34842ca312bd7fc9091494519073f41a9b41239a58b92237408cd1ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.22987$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.22987$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22544660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lope Ahmad, Raja Ahmad R.</creatorcontrib><creatorcontrib>Sivalingam, Shailendra</creatorcontrib><creatorcontrib>Konishi, Masaya</creatorcontrib><creatorcontrib>De Donato, Giuseppe</creatorcontrib><creatorcontrib>Sanna, Mario</creatorcontrib><title>Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas.
Methods
The surgical records of 121 cases of jugular paraganglioma (Fisch classifications C and D) were reviewed.
Results
The average follow‐up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE.
Conclusion
The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cranial Nerves - pathology</subject><subject>Cranial Nerves - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomus Jugulare Tumor - pathology</subject><subject>Glomus Jugulare Tumor - surgery</subject><subject>Glomus Jugulare Tumor - therapy</subject><subject>glomus jugulare tumors</subject><subject>Humans</subject><subject>jugular paraganglioma</subject><subject>Jugular Veins - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Skull Base Neoplasms - pathology</subject><subject>Skull Base Neoplasms - surgery</subject><subject>surgical control</subject><subject>surgical management</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1rFTEUhoNYbK0u_AMScKOLafM1k8lSar0VSgulWHETzmQy41wzyW0yQfvvzfX2uhC6OofD8z4cXoTeUHJCCWGnP2x_wphq5TN0RImSFeFCPt_uglecSHGIXqa0JoTwRrAX6JCxWoimIUeou_YmuDBOBoe8mDBbPHmcciwXcHgGD6OdrV9wGPA6j9lBxBuIMIIf3RRmwOB7PIBZQkwlO7hsvZn8uPelV-hgAJfs68d5jG4_n9-eXVSX16svZx8vKyNqKSuouWy6notWMAOcsq6Xg1FEUaFETRWRfBAUVCco4wrqtlOMcSlIa3oKHT9G73faTQz32aZFz1My1jnwNuSkKactUaKhbUHf_YeuQ46-PLelZEMEI7xQH3aUiSGlaAe9idMM8UFTore969K7_tt7Yd8-GnM3l-ue3BddgNMd8Gty9uFpk744_7RXVrvElBb7-18C4k_dSC5rfXe10vzu6-rbd0L1Df8DEyCazQ</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Lope Ahmad, Raja Ahmad R.</creator><creator>Sivalingam, Shailendra</creator><creator>Konishi, Masaya</creator><creator>De Donato, Giuseppe</creator><creator>Sanna, Mario</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes</title><author>Lope Ahmad, Raja Ahmad R. ; Sivalingam, Shailendra ; Konishi, Masaya ; De Donato, Giuseppe ; Sanna, Mario</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4577-a5376bd34842ca312bd7fc9091494519073f41a9b41239a58b92237408cd1ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cranial Nerves - pathology</topic><topic>Cranial Nerves - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomus Jugulare Tumor - pathology</topic><topic>Glomus Jugulare Tumor - surgery</topic><topic>Glomus Jugulare Tumor - therapy</topic><topic>glomus jugulare tumors</topic><topic>Humans</topic><topic>jugular paraganglioma</topic><topic>Jugular Veins - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Skull Base Neoplasms - pathology</topic><topic>Skull Base Neoplasms - surgery</topic><topic>surgical control</topic><topic>surgical management</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lope Ahmad, Raja Ahmad R.</creatorcontrib><creatorcontrib>Sivalingam, Shailendra</creatorcontrib><creatorcontrib>Konishi, Masaya</creatorcontrib><creatorcontrib>De Donato, Giuseppe</creatorcontrib><creatorcontrib>Sanna, Mario</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lope Ahmad, Raja Ahmad R.</au><au>Sivalingam, Shailendra</au><au>Konishi, Masaya</au><au>De Donato, Giuseppe</au><au>Sanna, Mario</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2013-04</date><risdate>2013</risdate><volume>35</volume><issue>4</issue><spage>527</spage><epage>534</epage><pages>527-534</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>Background
The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas.
Methods
The surgical records of 121 cases of jugular paraganglioma (Fisch classifications C and D) were reviewed.
Results
The average follow‐up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE.
Conclusion
The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22544660</pmid><doi>10.1002/hed.22987</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Cranial Nerves - pathology Cranial Nerves - surgery Female Follow-Up Studies Glomus Jugulare Tumor - pathology Glomus Jugulare Tumor - surgery Glomus Jugulare Tumor - therapy glomus jugulare tumors Humans jugular paraganglioma Jugular Veins - pathology Male Middle Aged Postoperative Complications - etiology Skull Base Neoplasms - pathology Skull Base Neoplasms - surgery surgical control surgical management Treatment Outcome Young Adult |
| title | Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
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