Merland J J, Tempier P, Rancurel G, Bories J, Buge A
Rev Neurol (Paris). 1977 Nov;133(11):621-6.
The authors report a case of glomus tumor effectively treated by embolisation. The very large size of this tumor, the age and very poor general condition of the patient due to swallowing difficulties represented a contraindication to classical methods of treatment. Elective devascularisation was carried out by embolisation of the tumour itself using non-resorbable inert material by way of selective catheterisation of the vessels supplying it, almost all of which arose from the external carotid. Rapid and durable disappearance of part of the left cranial nerve involvement, in particular swallowing difficulties, reflected the effectiveness of the method. 18 months after this attempt at palliative treatment, the patient's condition remains satisfactory, with no detectable evidence of any recurrence or progression of the tumour.
作者报告了一例通过栓塞有效治疗的血管球瘤病例。该肿瘤体积非常大,且患者因吞咽困难导致年龄较大且全身状况极差,这是传统治疗方法的禁忌证。通过使用不可吸收的惰性材料对肿瘤本身进行栓塞,经选择性导管插入供应肿瘤的血管(几乎所有血管均起源于颈外动脉)来进行选择性血管去血管化。左侧部分颅神经受累症状,尤其是吞咽困难迅速且持久地消失,这反映了该方法的有效性。在这次姑息治疗尝试18个月后,患者状况仍然令人满意,没有可检测到的肿瘤复发或进展迹象。