Diagnosis and surgical treatment of 92 cases of carotid body tumor

VernacularTitle:92例颈动脉体瘤患者的诊断与外科治疗经验分析
Author: Zhanghong XIE ¹ ; Qingquan HUA
Author Information

1. 武汉大学人民医院耳鼻咽喉头颈外科　430060
From: Journal of Chinese Physician 2020;22(8):1135-1138
CountryChina
Language:Chinese
Abstract: Objective:To illustrate the diagnosis and treatment of carotid body tumor (CBT) based on our experience of previous patients.Methods:A total of 92 patients with CBT who received surgery between October 2003 and October 2017 were included to summarize the operation process and experience and obsever the postoperative follow-up, postoperative complications and prognosis.Results:92 patients (102 lesions) in total, 27 lesions were categorized into Shamblin grade Ⅰ, 37 were grade Ⅱ, and 28 were grade Ⅲ. Surgical resection of CBT was performed for 63 lesions, resection of CBT and the external carotid artery was performed for 28 lesions, and resection of CBT and the internal carotid artery was performed for 1 lesion. No hemiplegia was observed. Hoarseness and bucking were observed in 2 patients of Shamblin grade Ⅲ, and were eliminated 1 month subsequent to the administration of hormone therapy and a nerve-nurturing strategy. No relapse or mortality was observed during the follow-up.Conclusions:Surgical resection of CBT is recommended following diagnosis. The evaluation of imaging features and cerebral collateral circulation is important for treatment.