Carotid body tumor with hidden internal carotid artery aneurysm
Background The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection. Methods A 60‐year‐old man was referred for evaluation of carotid body t...
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| Veröffentlicht in: | Head & neck 2019-05, Vol.41 (5), p.E79-E81 |
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| container_title | Head & neck |
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| creator | Rohlfing, Matthew L. Yang, Betty Jalisi, Scharukh |
| description | Background
The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection.
Methods
A 60‐year‐old man was referred for evaluation of carotid body tumor, and workup revealed an internal carotid artery (ICA) aneurysm within the known mass.
Results
Interventional Radiology performed angiogram and stenting across aneurysm with interval dramatic reduction in size of mass, and surgery was avoided altogether.
Conclusions
Surgical resection is indicated for carotid body paragangliomas when the patient can tolerate the surgery and when the tumor was not very advanced. This patient had a small tumor that initially appeared easily resectable. Failure to detect the ICA aneurysm before resection may have resulted in devastating vascular injury and possible stroke or death. Identification of underlying vascular pathology is essential for safe treatment and should be prioritized, especially considering this case. |
| doi_str_mv | 10.1002/hed.25610 |
| format | Article |
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The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection.
Methods
A 60‐year‐old man was referred for evaluation of carotid body tumor, and workup revealed an internal carotid artery (ICA) aneurysm within the known mass.
Results
Interventional Radiology performed angiogram and stenting across aneurysm with interval dramatic reduction in size of mass, and surgery was avoided altogether.
Conclusions
Surgical resection is indicated for carotid body paragangliomas when the patient can tolerate the surgery and when the tumor was not very advanced. This patient had a small tumor that initially appeared easily resectable. Failure to detect the ICA aneurysm before resection may have resulted in devastating vascular injury and possible stroke or death. Identification of underlying vascular pathology is essential for safe treatment and should be prioritized, especially considering this case.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.25610</identifier><identifier>PMID: 30582245</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Aneurysm ; Aneurysms ; angiogram ; carotid aneurysm ; Carotid arteries ; Carotid artery ; Carotid body ; carotid body tumor ; Cranial nerves ; Head and neck ; neck mass ; Neuroendocrine tumors ; Paraganglioma ; Patients ; Surgery ; Tumors</subject><ispartof>Head & neck, 2019-05, Vol.41 (5), p.E79-E81</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3130-dd03d03d61236efb03c5aed8aec9cba2dd2a605e5657ac97cca282ee41187cfc3</cites><orcidid>0000-0002-8744-4098</orcidid></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.25610$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.25610$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30582245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rohlfing, Matthew L.</creatorcontrib><creatorcontrib>Yang, Betty</creatorcontrib><creatorcontrib>Jalisi, Scharukh</creatorcontrib><title>Carotid body tumor with hidden internal carotid artery aneurysm</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection.
Methods
A 60‐year‐old man was referred for evaluation of carotid body tumor, and workup revealed an internal carotid artery (ICA) aneurysm within the known mass.
Results
Interventional Radiology performed angiogram and stenting across aneurysm with interval dramatic reduction in size of mass, and surgery was avoided altogether.
Conclusions
Surgical resection is indicated for carotid body paragangliomas when the patient can tolerate the surgery and when the tumor was not very advanced. This patient had a small tumor that initially appeared easily resectable. Failure to detect the ICA aneurysm before resection may have resulted in devastating vascular injury and possible stroke or death. Identification of underlying vascular pathology is essential for safe treatment and should be prioritized, especially considering this case.</description><subject>Aneurysm</subject><subject>Aneurysms</subject><subject>angiogram</subject><subject>carotid aneurysm</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid body</subject><subject>carotid body tumor</subject><subject>Cranial nerves</subject><subject>Head and neck</subject><subject>neck mass</subject><subject>Neuroendocrine tumors</subject><subject>Paraganglioma</subject><subject>Patients</subject><subject>Surgery</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp10E9LwzAYBvAgipvTg19ACl700O1N0jTtSWROJwy86DmkSco6-mcmLaPf3tRuF0EIJLz8eMj7IHSLYY4ByGJr9JywGMMZmmJIeQg04ufDO6IhBR5N0JVzOwCgcUQu0YQCSwiJ2BQ9LaVt2kIHWaP7oO2qxgaHot0G20JrUwdF3RpbyzJQRyetH_SBrE1ne1ddo4tcls7cHO8Z-npdfS7X4ebj7X35vAkVxRRCrYEOJ8aExibPgComjU6kUanKJNGayBiYYTHjUqVcKUkSYkyEccJVrugMPYy5e9t8d8a1oiqcMmXpP9J0ThAcA46SFIin93_orumGHbwikKYMc869ehyVso1z1uRib4tK2l5gEEOrwrcqflv19u6Y2GWVn57kqUYPFiM4FKXp_08S69XLGPkDfCCAbg</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Rohlfing, Matthew L.</creator><creator>Yang, Betty</creator><creator>Jalisi, Scharukh</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8744-4098</orcidid></search><sort><creationdate>201905</creationdate><title>Carotid body tumor with hidden internal carotid artery aneurysm</title><author>Rohlfing, Matthew L. ; Yang, Betty ; Jalisi, Scharukh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3130-dd03d03d61236efb03c5aed8aec9cba2dd2a605e5657ac97cca282ee41187cfc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aneurysm</topic><topic>Aneurysms</topic><topic>angiogram</topic><topic>carotid aneurysm</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid body</topic><topic>carotid body tumor</topic><topic>Cranial nerves</topic><topic>Head and neck</topic><topic>neck mass</topic><topic>Neuroendocrine tumors</topic><topic>Paraganglioma</topic><topic>Patients</topic><topic>Surgery</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rohlfing, Matthew L.</creatorcontrib><creatorcontrib>Yang, Betty</creatorcontrib><creatorcontrib>Jalisi, Scharukh</creatorcontrib><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>Rohlfing, Matthew L.</au><au>Yang, Betty</au><au>Jalisi, Scharukh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid body tumor with hidden internal carotid artery aneurysm</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2019-05</date><risdate>2019</risdate><volume>41</volume><issue>5</issue><spage>E79</spage><epage>E81</epage><pages>E79-E81</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection.
Methods
A 60‐year‐old man was referred for evaluation of carotid body tumor, and workup revealed an internal carotid artery (ICA) aneurysm within the known mass.
Results
Interventional Radiology performed angiogram and stenting across aneurysm with interval dramatic reduction in size of mass, and surgery was avoided altogether.
Conclusions
Surgical resection is indicated for carotid body paragangliomas when the patient can tolerate the surgery and when the tumor was not very advanced. This patient had a small tumor that initially appeared easily resectable. Failure to detect the ICA aneurysm before resection may have resulted in devastating vascular injury and possible stroke or death. Identification of underlying vascular pathology is essential for safe treatment and should be prioritized, especially considering this case.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30582245</pmid><doi>10.1002/hed.25610</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-8744-4098</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Aneurysm Aneurysms angiogram carotid aneurysm Carotid arteries Carotid artery Carotid body carotid body tumor Cranial nerves Head and neck neck mass Neuroendocrine tumors Paraganglioma Patients Surgery Tumors |
| title | Carotid body tumor with hidden internal carotid artery aneurysm |
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