Our surgical experience on carotid body paragangliomas and literature review Karotis Cisimciǧi Paragangliomalarinda Cerrahi Deneyimimiz ve Literatür Derlemesi


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Düzlü M., Yılmaz M., Tutar H., Karamert R., Sahin M. M., Karaloglu F., ...More

Gazi Medical Journal, vol.28, no.2, pp.120-124, 2017 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 2
  • Publication Date: 2017
  • Doi Number: 10.12996/gmj.2017.33
  • Journal Name: Gazi Medical Journal
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.120-124
  • Gazi University Affiliated: Yes

Abstract

© Copyright 2017 by Gazi University Medical Faculty.Aim: Carotid body paraganglioma (CBP) is a usually slow growing benign tumor originating from neural crest. Surgery and radiotherapy options are available for the treatment. In this study, we aimed to present our surgical results with KCP tumors and to compare them with literature data. Methods: Twenty-four patients who were operated for CBP in our clinic between the years 2004 and 2016 were included in the study. Patient charts, radiological findings and pathology records were examined in detail retrospectively, including demographic information and perioperative complications. Results: Three patients (12.5 %) were male and 21 (87.5 %) patients were female with the mean age 44.4 ± 13.6 years. The Shamblin group of tumors were found to be Type I in 6 (35.3 %), Type Ilin 8 (47.1 %) and Type III in 3 (11.6 %) of the 17 patients who were available for classification. In 23 cases (95.8 %) the tumor was totally removed. On follow-up tumor recurrence was detected in one patient. Surgical complications were permanent cranial nerve injury in two patients (8.3 %) and hemiplegia in one (4.2%) patient. Transient ischemic attack (TIA) developed in one case (4.2%) due to preoperative embolization. Conclusion: The definitive treatment of CBP is surgical excision. However, there is risk forsome complications such as cranial nerve damage and rarely hemiplegia. In our study, the surgical success rate was found to be quite good and the rate of various neurological complications seen in some cases is also in compliance with the literature data.