Ikeda Aya, Shiga Kiyoto, Katagiri Katsunori, Saito Daisuke, Miyaguchi Jun, Oikawa Shin-Ichi, Tsuchida Kodai, Asakage Takahiro, Ozawa Hiroyuki, Nibu Ken-Ichi, Ohtsuki Naoki, Fujimoto Yasushi, Kaneko Ken-Ichi
Department of Head and Neck Surgery, Iwate Medical University School of Medicine, Morioka, Iwate 020-8505, Japan.
Department of Head and Neck Surgery, Tokyo Medical and Dental University School of Medicine, Tokyo 113-8510, Japan.
Oncol Lett. 2018 Apr;15(4):5318-5324. doi: 10.3892/ol.2018.7925. Epub 2018 Feb 2.
There has been no attempt to clarify the status of patients with carotid body tumor (CBT) in Japan. This multi-institutional survey analyzed patients with CBT throughout Japan by gathering information on these patients from institutions that performed head and neck surgeries. Information from a total of 150 patients from 25 institutions from the past 20 years was employed in the present survey. There were 87 females and 63 males, and their mean age was 48.0 years old. The most common chief complaint was a neck mass and the mean suffering period was 46.1 months. Eighteen patients had a family history of paragangliomas and fifteen patients had bilateral CBTs. Among the 94 patients who underwent surgery to remove a CBT, 23 patients had tumors classified as Shamblin type I, 59 had type II and 12 had type III. The most frequent feeding artery of these CBTs was the ascending pharyngeal artery. Preoperative embolization of these arteries was effective in reducing blood loss; however, the operation time in Shamblin type I and II tumors was not improved. Thus these results revealed the status of patients with CBT and their treatment throughout Japan.
日本尚未尝试阐明颈动脉体瘤（CBT）患者的状况。这项多机构调查通过收集来自进行头颈外科手术机构的这些患者的信息，对全日本的CBT患者进行了分析。本调查采用了过去20年来自25个机构的总共150名患者的信息。其中有87名女性和63名男性，他们的平均年龄为48.0岁。最常见的主要症状是颈部肿块，平均患病时间为46.1个月。18名患者有副神经节瘤家族史，15名患者患有双侧CBT。在94例行CBT切除术的患者中，23例肿瘤分类为Shamblin I型，59例为II型，12例为III型。这些CBT最常见的供血动脉是咽升动脉。术前对这些动脉进行栓塞可有效减少失血；然而，Shamblin I型和II型肿瘤的手术时间并未缩短。因此，这些结果揭示了全日本CBT患者的状况及其治疗情况。
