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Secreting Jugulotympanic Paraganglioma With Venous Involvement into the Thorax
Author(s) -
Daramola Opeyemi O.,
Shinners Michael J.,
Levine Samuel C.
Publication year - 2008
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/mlg.0b013e31816fce05
Subject(s) - paraganglioma , medicine , internal jugular vein , magnetic resonance imaging , radiology , jugular foramen , glomus tumor , neuroendocrine tumors , anatomy , pathology , skull
Paragangliomas are highly vascular tumors that arise from chief cells in extra‐adrenal paraganglia of the autonomic nervous system. Jugulotympanic paragangliomas involve the middle ear and jugular fossa. Secreting jugulotympanic paragangliomas with thoracic extension are rare. We report a case with unexpected involvement of the internal jugular vein. Otolaryngologists should be aware that the jugulotympanic paragangliomas traverse variable anatomic pathways. Multiple imaging options, including magnetic resonance venography, are useful and should include the neck for definitive characterization of tumor anatomy. Patients with refractory hypertension and masses suspicious for paraganglioma should be examined for functional tumors.