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

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 a...

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Published inOTOLOGIA 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
LanguageJapanese
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
Online AccessGet full text
ISSN0447-7227
2185-1034
DOI10.11334/jibi1954.41.1_24

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Abstract 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.
AbstractList 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. 頸動脈合併切除後, 血行再建を行つた頸動脈小体腫瘍症例を報告した. 頸動脈造影により腫瘍が分岐部・内頸動脈を取り巻く所見が見られたためballoon Matas testを施行し頸動脈再建術の準備を行い手術に臨んだ. 術後の病理組織検査で, 腫瘍は内頸動脈内腔に極めて近く進展しており, 剥離摘出は困難であつたことが裏付けられた. 術前検査で腫瘍が分岐部・内頸動脈を取り巻く所見があれば, 腫瘍の大きさにかかわらず血管再建手術を考慮しておく必要性があると思われた.
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.
Author FUKUSHIMA, Kunihiro
UNO, Kinya
FUKAZAWA, Motoharu
WATANABE, Shuichi
TOMINAGA, Susumu
TAMURA, Kouzou
MASUDA, Yu
Author_FL 深沢 元晴
福島 邦博
渡辺 周一
冨永 進
田村 耕三
宇野 欽哉
増田 游
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9) Conley JJ: The management of carotid body tumors. Surg Gynecol Obstet 177: 722-732, 1963.
2) Glenner GG et al: Functional carotid body-like tumor secreting levaterenol. Arch Pathol 73: 230-240, 1962.
6) 板坂彰他: 家族的に発生せる頸動脈腺腫瘍の2例. 臨と研22: 242-249, 1945.
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8) 村上泰他: 悪性頸動脈小体腫瘍の一例-本邦悪性例の検討-. 耳鼻臨床80: 627-636, 1987.
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7) 屋宜晃他: 一家族にみられた2例の頸動脈小体腫瘍. 日耳鼻91: 1987-1995, 1987
1) Shamblin WR et al: Carotid body tumor (chemodectoma): Clinicopathologic analysis of ninety cases. Am J Surg 122: 732-739, 1971.
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References_xml – reference: 7) 屋宜晃他: 一家族にみられた2例の頸動脈小体腫瘍. 日耳鼻91: 1987-1995, 1987
– reference: 10) Golden-Taylor G: On carotid body tumors. Brit J Surg 28: 163-172, 1941.
– reference: 11) 横江時史他: 悪性頸動脈球腫瘍の1例. 外科領域6: 463-467, 1958.
– reference: 12) Rush BF Jr: Current concepts in the treatment of carotid body tumor. Surgery 52: 679-684, 1962.
– reference: 4) Lack EE et al: Paragangliomas of the head and neck region. A pathologic study of tumors from 71 patients. Hum Pathol 10: 191-218, 1979.
– reference: 6) 板坂彰他: 家族的に発生せる頸動脈腺腫瘍の2例. 臨と研22: 242-249, 1945.
– reference: 8) 村上泰他: 悪性頸動脈小体腫瘍の一例-本邦悪性例の検討-. 耳鼻臨床80: 627-636, 1987.
– reference: 1) Shamblin WR et al: Carotid body tumor (chemodectoma): Clinicopathologic analysis of ninety cases. Am J Surg 122: 732-739, 1971.
– reference: 3) 斉藤裕夫他: 頭頸部領域の傍神経節腫. 耳鼻臨床79: 1305-1318, 1986.
– reference: 5) Grufferman SR et al: Familial carotid body tumors. Case report and epidemiologicview. Cancer 46: 2116-2122, 1980.
– reference: 9) Conley JJ: The management of carotid body tumors. Surg Gynecol Obstet 177: 722-732, 1963.
– reference: 2) Glenner GG et al: Functional carotid body-like tumor secreting levaterenol. Arch Pathol 73: 230-240, 1962.
– reference: 13) Javid H et al: Surgical management of carotid body tumor. Arch Surg 95: 771-779, 1967.
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Snippet 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...
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SubjectTerms 血管再建術
頸動脈合併切除
頸動脈小体腫瘍
Title A case report: surgical treatment for a carotid body tumor with carotid reconstruction
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