A case report: surgical treatment for a carotid body tumor with carotid reconstruction

• Published in: OTOLOGIA FUKUOKA Vol. 41; no. 1; pp. 24 - 28
• Main Authors: WATANABE, Shuichi, FUKAZAWA, Motoharu, TAMURA, Kouzou, MASUDA, Yu, FUKUSHIMA, Kunihiro, TOMINAGA, Susumu, UNO, Kinya
• Format: Journal Article
• Language: Japanese
• Published: JIBI TO RINSHO KAI 20.01.1995
• Subjects: 血管再建術; 頸動脈合併切除; 頸動脈小体腫瘍
• ISSN: 0447-7227; 2185-1034
• DOI: 10.11334/jibi1954.41.1_24

A case of a carotid body tumor is herein reported. A 37-year-old woman presented with a painless tumor in her left carotid triangle. Arteriography and a CT scan revealed a vascular-rich tumor in the carotid sinus. The tumor was extirpated with a combined resection and reconstruction of the carotid artery using a great saphenous vein graft. A close invasion to the intracarotid space was observed by a histological examination. A subadventitial dissection has been commonly performed for the treatment of such tumors. However, the exact estimation of tumor invasion in the aventitia is very difficult to determine by only preoperative examinations. In this report, we emphasize the importance of vascular surgery for a complete tumor excision and to reduce the risk in cases with internal carotid involvement.