Connell J
Aust N Z J Surg. 1977 Aug;47(4):495-500. doi: 10.1111/j.1445-2197.1977.tb04334.x.
Carotid body tumours are rare, but important. Their reputation for slow growth and virtual non-malignancy has had, in the light of experience, to be revised. Sudden spurts of growth are well known, and the tumour may become irremovable in a relatively short time. Aggressive local invasion and widespread metastasis are now well recognized. Histological features are no guide to malignancy. These tumors can nearly all be removed with an acceptable mortality and morbidity, without damage to the internal carotid artery. Ideally the diagnosis should be made by clinical acumen and confirmatory X-ray examination. Biopsy makes subsequent removal of the tumour much more difficult, and should be avoided if at all possible. Eleven personal cases of carotid body tumours are reported, and the technique of surgical excision is discussed in detail.
颈动脉体瘤虽罕见，但很重要。鉴于经验，其生长缓慢且几乎无恶性的声誉已不得不修正。众所周知，肿瘤会突然快速生长，并且可能在相对较短的时间内变得无法切除。侵袭性局部侵犯和广泛转移如今已得到充分认识。组织学特征并不能作为判断恶性的依据。几乎所有这些肿瘤都能在可接受的死亡率和发病率情况下被切除，且不会损伤颈内动脉。理想情况下，诊断应依靠临床敏锐度和X线检查来证实。活检会使后续肿瘤切除困难得多，应尽可能避免。本文报告了11例颈动脉体瘤的个人病例，并详细讨论了手术切除技术。
