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Carotid body tumors
Author(s) -
Sanghvi Vikram D.,
Chandawarkar Rajiv Y.
Publication year - 1993
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930540314
Subject(s) - medicine , surgery , cranial nerve palsy , hypoglossal nerve , hemiparesis , carotid body , incisional biopsy , retrospective cohort study , paralysis , carotid arteries , angiography , tongue , lesion , pathology
A retrospective study of 20 patients treated at the Tata Memorial Hospital over a period of 50 years, 1941–1991, is presented. Seventy‐five percent (15/20) of the patients presented before their fifth decade with a male‐to‐female ratio of 2:1. The commonest presenting symptom was a painless lump in the neck. Twenty‐five percent (5/20) had an incisional biopsy done elsewhere prior to referral to our institute. We performed a subadventitial excision of the tumor in 17 patients, 3 of whom were given postoperative radiation therapy. Three patients underwent complete excision of the carotid system without a vascular replacement, one of whom developed hemiparesis secondary to a cerebral infarct. There was no operative/ postoperative mortality. Cranial nerve palsy was seen in 45% (9/20) of patients; the hypoglossal nerve was most commonly affected. One patient had a recurrence, 6 years after surgery, whereas 60% of patients operated on before 1987 have completed a 5‐year disease free survival. Forty percent of patients have yet to have a 5‐year follow‐up period. Reports of newer diagnostic and therapeutic modalities are discussed. © 1993 Wiley‐Liss, Inc.