Colleran Gabrielle C, Cronin Kevin C, Browne Ann M, Hynes Niamh, Sultan Sherif
Department of Surgery, NUI Galway, Galway University Hospital, Newcastle, Ireland.
Cases J. 2009 Nov 30;2:9112. doi: 10.1186/1757-1626-2-9112.
Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment.
The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively.
Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome.
颈前三角区肿物给临床带来了一个重要难题。通过临床和影像学评估在术前很难区分其潜在的病变情况。
第一个病例重点介绍了双侧化学感受器瘤的处理，第二个病例是卡斯特曼病的表现，第三个病例是扁桃体转移性腺癌。所有三个病例术前的临床表现和影像学表现相似。
颈前三角区肿物涵盖了从化学感受器瘤到卡斯特曼病再到癌的一系列病变情况。为实现最佳的患者护理，需要专家进行血管和影像学管理，且应在三级转诊中心开展。双功超声、CT血管造影（CTA）和磁共振血管造影（MRA）是重要的术前评估工具，以确保手术医生能够获得关于病变与颈动脉关系的充分信息，手术医生应具备血管专业知识，因为反复证明，有计划的手术量可改善患者预后。
