Arruda W O, Teive H A, Torres L F, Ramina R, Parolim M K, Maniglia J J, Barrionuevo C E
Unidade de Ciências Neurológicas, Hospital de Clínicas da Universidade Federal do Paraná, Brasil.
Arq Neuropsiquiatr. 1989 Mar;47(1):51-60. doi: 10.1590/s0004-282x1989000100007.
The authors review the clinical, radiological and pathological features of 6 cases of glomus tumors of the temporal bone. Out of the 6 patients, 5 were female; age was distributed between 22 and 76 years (mean 48 years). The main clinical features were hypoacusia, tinnitus and otoscopic findings suggestive of the diagnosis. In one case was noted the concomitant presence of a neurinoma of the VIII cranial nerve with a ipsilateral glomus tumor, and in another case there was a concomitancy of carotid body tumor with temporal glomus jugularis tumor. Metastases were not observed in any case. Tumoral lesions were successfully ressected employing microsurgical techniques and a multidisciplinary staff involving neurosurgeons, head and neck surgeons and otolaryngologists. Radioteraphy was not employed, neither pre-operative embolization. Some aspects related to the nosology, embriology, pathophysiology, diagnosis and treatment of this interesting type of neoplasms are discussed.
作者回顾了6例颞骨血管球瘤的临床、放射学和病理学特征。6例患者中,5例为女性;年龄分布在22至76岁之间(平均48岁)。主要临床特征为听力减退、耳鸣以及耳镜检查结果提示诊断。1例患者同时存在Ⅷ颅神经神经鞘瘤和同侧血管球瘤,另1例患者同时存在颈动脉体瘤和颞骨颈静脉球瘤。所有病例均未观察到转移。采用显微外科技术以及由神经外科医生、头颈外科医生和耳鼻喉科医生组成的多学科团队成功切除了肿瘤病变。未进行放射治疗,也未进行术前栓塞。讨论了有关这类有趣肿瘤的疾病分类学、胚胎学、病理生理学、诊断和治疗的一些方面。