A multidisciplinary approach to carotid body tumors surgical management

Journal of Surgical Case Reports
David FanAbdul Saied Calvino

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.

References

Dec 1, 1971·American Journal of Surgery·W R ShamblinE G Harrison
Feb 15, 2007·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·T P C MartinE R Maher
Apr 3, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M S SajidUNKNOWN Joint Vascular Research Group
Apr 18, 2008·AJNR. American Journal of Neuroradiology·S AryaA K Dcruz
Dec 15, 2010·Journal of Vascular Surgery·Allan J KrugerJulie Jenkins

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Citations

Jan 26, 2021·Ear, Nose, & Throat Journal·Lifeng LiNyall R London

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Methods Mentioned

BETA
dissection

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