Voss E U, Vollmar J, Meister H
Thoraxchir Vask Chir. 1977 Feb;25(1):1-12. doi: 10.1055/s-0028-1096673.
The tumors of the carotid body are rare in frequency but still they give many problems in preoperative diagnosis and operative management. The pathological classification and estimation of dignity is still under discussion. Based on the experience of 5 patients we try to give a comprehensive listing of important facts and a classification for clinical use. In spite of the typical clinical signs which were described by Kocher and Fontaine the carotid body tumor is the most frequently mistaken tumor in the lateral region of the neck. If a tumor of this type is suspected a carotid arteriogram should be regularely performed. The arteriogram is the most important diagnostic procedure, and gives the final diagnosis in most cases. The therapeutic principle is the early total extirpation. In spite of the small rate of malignancy (under 10%) this challenge is based on the frequent observation of local spreading of the tumor. The excision of tumors of even large size is possible under consideration of special operative technics.
颈动脉体瘤发病率较低，但在术前诊断和手术治疗方面仍存在诸多问题。其病理分类及良恶性评估仍在探讨中。基于5例患者的经验，我们试图全面列出重要事实并给出临床应用的分类。尽管科赫尔和方丹描述了典型的临床体征，但颈动脉体瘤仍是颈部外侧最常被误诊的肿瘤。如果怀疑是此类肿瘤，应常规进行颈动脉血管造影。血管造影是最重要的诊断方法，多数情况下可得出最终诊断。治疗原则是早期彻底切除。尽管恶性率较低（低于10%），但鉴于肿瘤局部扩散较为常见，仍具有挑战性。考虑到特殊的手术技巧，即使是较大尺寸的肿瘤也可切除。
